Most Relevant Information
Provider Data
| NPI Number: | 1003202169 |
| Provider Name: | KEONA PHILEMY |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.382418 |
Most Important Dates
| Enumeration Date: | 04/15/2015 |
| Last Updated: | 04/15/2015 |
Provider Practice Location
301 CORNELL AVE
CALUMET CITY
IL
604091728
Practice Location Phone/Fax
| Phone: | 7733105533 |
| Fax: |
Provider Mailing Location
301 CORNELL AVE
CALUMET CITY
IL
604091728
Provider Mailing Phone/Fax
| Phone: | 7733105533 |
| Fax: |