SearchIllinoisContractor

Larone Nutall

NPI 1063109296 · on the registry since 2023

Practice

Address
7138 S Coles Ave Apt 2a
Chicago, IL 60649
Phone
(708) 915-0517

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois