GAELLE THIAM DWOMOH

NILES, IL
NPI1831864099
Former NameGAELLE THIAM HOUMGNY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.023744)
Enumeration Date2021-08-10
Last Update Date2023-01-16
Business Address
GAELLE THIAM DWOMOH APRN
8816 W DEMPSTER ST
NILES, IL 60714-5109
Phone number: 847-723-7052
Mailing Address
GAELLE THIAM DWOMOH APRN
29373 NETWORK PL
CHICAGO, IL 60673-1916
Phone number: 847-390-5900