NPI 1063863579

Regina Whittmon

Practitioner Driver Chicago, IL

Practice location

Address: 7808 S Coles Ave APT 3, Chicago, IL 60649
Phone: (312) 248-5645

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1063863579
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2016
Record last updated: 27 Jun 2016

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.