DIVINE PROVIDENCE MENGUE

CHICAGO, IL
NPI1265262455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-03
Last Update Date2025-01-13
Business Address
DIVINE PROVIDENCE MENGUE PA-C
150 N MICHIGAN AVE
CHICAGO, IL 60601-7553
Phone number: 311-263-4625
Mailing Address
DIVINE PROVIDENCE MENGUE PA-C
150 N MICHIGAN AVE STE 1200
CHICAGO, IL 60601-7605
Phone number:
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