Individual
MRS. DEBRA RUTH ONVEJIAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
406 WEST BOUGHTON ROAD, SUITE C, BOLINGBROOK, IL 60440
(630) 972-1006
(630) 759-8900
Mailing address
857 TAM OSHANTER CIRCLE, BOLINGBROOK, IL 60440
(630) 972-9207
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009920148
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/16/2006
Last updated
07/08/2007
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