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1265044226
TEMITAYO KAFISANWO
CHICAGO, IL
NPI
1265044226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.020325)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
TEMITAYO KAFISANWO
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-542-2000
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Mailing Address
TEMITAYO KAFISANWO
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-542-2000
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