Individual
JUANATA MUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 449-5875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027546
IL
Other
Enumeration date
08/02/2023
Last updated
11/26/2024
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