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1205247244
NWADIUTOR O IFEZUE
RICHTON PARK, IL
NPI
1205247244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041290058)
Enumeration Date
2014-05-13
Last Update Date
2016-09-14
Business Address
Mrs. NWADIUTOR O IFEZUE FNP
22621 LAKESHORE DR
RICHTON PARK, IL 60471-1612
Phone number: 708-945-1712
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Mailing Address
Mrs. NWADIUTOR O IFEZUE FNP
PO BOX 806112 STE 109
CHICAGO, IL 60680-4122
Phone number: 773-933-9300
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