DIVINE PROVIDENCE MENGUE

ORLAND PARK, IL
NPI1265262455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-03
Last Update Date2025-10-30
Business Address
DIVINE PROVIDENCE MENGUE PA-C
16105 S LA GRANGE RD
ORLAND PARK, IL 60467-5503
Phone number: 708-636-3767
Mailing Address
DIVINE PROVIDENCE MENGUE PA-C
16105 S LA GRANGE RD
ORLAND PARK, IL 60467-5503
Phone number: 708-636-3767
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