MARIAM DIALLO FOFANA

CHICAGO, IL
NPI1962867267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277000533)
Enumeration Date2015-12-31
Last Update Date2025-04-29
Business Address
MARIAM DIALLO FOFANA FNP-BC
840 W IRVING PARK RD
CHICAGO, IL 60613-3011
Phone number: 773-871-5150
Mailing Address
MARIAM DIALLO FOFANA FNP-BC
840 W IRVING PARK RD
CHICAGO, IL 60613-3011
Phone number: 708-943-7915