Antwaniqua White
Antwaniqua White is a Homemaker in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3500 S Lake Park Ave Apt 405Chicago, IL 60653-1561
Phone: (773) 397-2555
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1023621364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2020 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 3500 S Lake Park Ave Apt 405, Chicago, IL 60653-1561 |
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