Chaunta Willis, CPHT

NPI 1063846335 · on the registry since 2013 · sole proprietor

Practice

Address: 3753 S Cottage Grove Ave
Chicago, IL 60653
Phone: (773) 451-0712
Fax: (773) 451-0714
Organisation at this address: Mercy Care Center
Mercy Care Center
Mercy Care Center
Kids Above All Illinois
Near North Health Service Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183700000X
183700000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-08-22

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