Provider Demographics
NPI:1164254108
Name:VEAL, LATOYA
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:VEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TOYA
Other - Middle Name:
Other - Last Name:VEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 E OHIO ST STE 410
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5288
Mailing Address - Country:US
Mailing Address - Phone:800-829-4933
Mailing Address - Fax:
Practice Address - Street 1:230 E OHIO ST STE 410
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5288
Practice Address - Country:US
Practice Address - Phone:800-829-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier