Individual
DOLLY OSAS AGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1106 NEAL AVE, JOLIET, IL 60433-2548
(815) 727-8670
(815) 740-8149
Mailing address
908 SHILOH CT, JOLIET, IL 60431-9307
(815) 744-3481
(815) 744-3481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-006082
IL
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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