NPI 1043778004

Coretta J Pruitt

Practitioner Case Manager/Care Coordinator Chicago, IL

Practice location

Address: 641 W 63rd St, Chicago, IL 60621-2032
Phone: (224) 531-7966
Fax: (312) 355-1110

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1043778004
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2019
Record last updated: 8 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.