Lincoln-Stallworth, Renetta Denise

Lincoln-Stallworth, Renetta Denise is an sole proprietor health care provider with primary practice located at 11110 S Homewood Ave #A1, Chicago IL 60643-4233. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lincoln-Stallworth, Renetta Denise can be contacted via phone (773) 425-5951.

Contact Information

Primary practice address
11110 S Homewood Ave #A1 Chicago IL 60643-4233
Phone: (773) 425-5951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043084625 Illinois

Profile Details

NPI number 1093083966
LBN Legal business name Lincoln-Stallworth, Renetta Denise
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 15 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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