SearchIllinois183500000X

Laura Teague

NPI 1215200894 · on the registry since 2012 · sole proprietor

Practice

Address
11237 S Talman Ave
Chicago, IL 60655
Phone
(312) 339-2067

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-13

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