AMBILI MARIAM JACOB

CHICAGO, IL
NPI1275369126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041410871)
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
AMBILI MARIAM JACOB
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-5474
Mailing Address
AMBILI MARIAM JACOB
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-5474