OGHOMWEN AIMIUWU

CHICAGO, IL
NPI1164267381
Former NameOGHOMWEN SHAKA-IDUSUYI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.084781)
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
OGHOMWEN AIMIUWU
1950 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 917-442-2284
Mailing Address
OGHOMWEN AIMIUWU
1950 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 917-442-2284
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