MALLIA EIHENTALE

GLENVIEW, IL
NPI1770198228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.018102)
Enumeration Date2020-09-11
Last Update Date2025-04-22
Business Address
MALLIA EIHENTALE
921 DRAKE RD
GLENVIEW, IL 60025-4319
Phone number: 773-732-8625
Mailing Address
MALLIA EIHENTALE
921 DRAKE RD
GLENVIEW, IL 60025-4319
Phone number: 773-732-8625
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