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Individual

CHRISTIANA OTUWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
504 WYSTERIA DR, OLYMPIA FLDS, IL 60461-1228
(312) 864-6000
(312) 864-7294
Mailing address
504 WYSTERIA DR, OLYMPIA FLDS, IL 60461-1228
(708) 955-6204

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG05220029
IL

Other

Enumeration date
10/20/2022
Last updated
10/20/2022
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