Fields, Shavonda Latrice

Fields, Shavonda Latrice is an sole proprietor health care provider with primary practice located at 1429 S Kedvale Ave , Chicago IL 60623-1246. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Driver, Behavioral Health & Social Service Providers / Pastoral, Agencies / Community/Behavioral Health, Transportation Services / Private Vehicle, Nursing Service Related Providers / Adult Companion. Other Service Providers / Driver is her primary health care specialty. Fields, Shavonda Latrice can be contacted via phone (773) 680-0710.

Contact Information

Primary practice address
1429 S Kedvale Ave Chicago IL 60623-1246
Phone: (773) 680-0710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X F432-5915-7927 Illinois
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Agencies / Community/Behavioral Health 251S00000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1730851932
LBN Legal business name Fields, Shavonda Latrice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2021
Last updated Oct 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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