SearchIllinois224Z00000X

Chanel Raybon

NPI 1386295863 · on the registry since 2019 · sole proprietor

Practice

Address
16726 Orchard Ridge Ave
Hazel Crest, IL 60429
Phone
(708) 515-0813

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-25

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