# DR. IMMIRNE MONET OUWINGA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588820971
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036128568 | IL | — |
| 207Q00000X | Family Medicine Physician | 125055374 | IL | — |
| 207Q00000X | Family Medicine Physician | D0078131 | MD | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | D78131 | MD | — |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 03/07/2023