SearchIllinois343900000X

Latasha Hubert

NPI 1275059263 · on the registry since 2017 · sole proprietor

Practice

Address
17144 Evans Dr
South Holland, IL 60473
Phone
(708) 400-1637

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-21

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