DIANA MUKAMUSONI FULAZA

EVANSTON, IL
NPI1144996224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.022042)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
DIANA MUKAMUSONI FULAZA FNP
2650 RIDGE AVE EVANSTON, IL 60201
EVANSTON, IL 60201
Phone number: 847-570-2000
Mailing Address
DIANA MUKAMUSONI FULAZA FNP
1516 W TOUHY AVE APT 1A
CHICAGO, IL 60626-2631
Phone number: 773-546-8782
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