LARISSA FOMUM MUGRI

CHICAGO, IL
NPI1851973721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-21
Last Update Date2021-04-21
Business Address
LARISSA FOMUM MUGRI MD
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637-1443
Phone number: 773-702-9109
Mailing Address
LARISSA FOMUM MUGRI MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150