Search › Illinois › 163WG0000X
Latabitha Bryant
NPI 1508683624 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10736 Lamon Ave
Oak Lawn, IL 60453 - Phone
- (773) 791-5364
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-20
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