MALLIA EIHENTALE

ROLLING MEADOWS, IL
NPI1770198228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.018102)
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
MALLIA EIHENTALE
5301 KEYSTONE CT
ROLLING MEADOWS, IL 60008-3811
Phone number: 847-392-5440
Mailing Address
MALLIA EIHENTALE
330 CRABTREE LN
GLENVIEW, IL 60025-5113
Phone number: 773-732-8625
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