SearchIllinois163W00000X

Diantha Hancock

NPI 1912754391 · on the registry since 2024 · sole proprietor

Practice

Address
22991 Kristine Ln
Richton Park, IL 60471
Phone
(708) 261-9934

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-02

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