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1174821805
TANWA A DAWODU
CHICAGO, IL
NPI
1174821805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.008502)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
Mr. TANWA A DAWODU NP
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 773-947-7500
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Mailing Address
Mr. TANWA A DAWODU NP
13932 S TRACY AVE
RIVERDALE, IL 60827-1920
Phone number: 708-841-3668
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