Willis, Chaunta Nicole

Willis, Chaunta Nicole is an sole proprietor health care provider with primary practice located at 3753 S Cottage Grove Ave , Chicago IL 60653-1407. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Willis, Chaunta Nicole can be contacted via phone (773) 451-0712.

Contact Information

Primary practice address
3753 S Cottage Grove Ave Chicago IL 60653-1407
Phone: (773) 451-0712
Fax: (773) 451-0714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 049168746 Illinois

Profile Details

NPI number 1063846335
LBN Legal business name Willis, Chaunta Nicole
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2013
Last updated Aug 22nd, 2013 - about 13 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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