OMOVAUDO DIVINE OMO-EBOH

CHICAGO, IL
NPI1164154878
Former NameFATIMA OGAR-EGBOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.081017)
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
OMOVAUDO DIVINE OMO-EBOH MD
1625 E 75TH ST
CHICAGO, IL 60649-3603
Phone number: 773-947-7313
Mailing Address
OMOVAUDO DIVINE OMO-EBOH MD
1625 E 75TH ST
CHICAGO, IL 60649-3603
Phone number: 773-947-7313
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