Individual
JEAN K KOMBWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
26W212 GENEVA RD, CAROL STREAM, IL 60188-2240
(630) 510-1065
(630) 389-0023
Mailing address
1150 COLDSPRING RD, ELGIN, IL 60120-5102
(847) 890-2208
(630) 389-0023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.019928
IL
363LF0000X
Family Nurse Practitioner
Primary
F06190486
IL
Other
Enumeration date
07/11/2019
Last updated
10/05/2021
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