Laportia Sims, RN
Registered Nurse, Wound Care in Chicago, IL. Individual provider (NPI-1).
NPI number1629680384
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1629680384
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laportia Sims
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2020
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0000X | Registered Nurse, Wound Care | 041388265 | IL | Yes |
Practice location
5241 W Quincy StChicago, IL 60644-4338
Phone 773-398-0014
Mailing address
5241 W Quincy StChicago, IL 60644-4338
Phone 773-398-0014
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