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Individual

IJEOMA CHINENYE IBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5946 S PRAIRIE AVE APT 3, CHICAGO, IL 60637-1336
(312) 813-5866
Mailing address
5946 S PRAIRIE AVE APT 3, CHICAGO, IL 60637-1336
(312) 813-5866

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029031
IL

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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