Provider Demographics
NPI:1831998434
Name:NEIGHBORS, LADONNA MARIE
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:MARIE
Last Name:NEIGHBORS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 W JACKSON BLVD # 2W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-2913
Mailing Address - Country:US
Mailing Address - Phone:480-234-3891
Mailing Address - Fax:480-234-3891
Practice Address - Street 1:2304 W JACKSON BLVD # 2W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2913
Practice Address - Country:US
Practice Address - Phone:480-234-3891
Practice Address - Fax:480-234-3891
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12121660163W00000X
CA95189122163W00000X
NYREGISTERED163W00000X
OR10028278163W00000X
IL041536553163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse