| Latrice T Oglesby | |
|
17019 Harlem Ave Tinley Park IL 60477-2739 | |
| (708) 268-1749 | |
| Not Available |
| Full Name | Latrice T Oglesby |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17019 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Latrice Tonias Oglesby (COUNSELOR) |
| Authorized Official Contact | 7082681749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latrice T Oglesby 1628 216th Pl Sauk Village IL 60411-4480 Ph: (708) 268-1749 | Latrice T Oglesby 17019 Harlem Ave Tinley Park IL 60477-2739 Ph: (708) 268-1749 |
| NPI Number | 1528209525 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528209525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180.007113 (Illinois) | Primary |
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