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Individual

DR. LUNINGNING GAYAPA MADAMBA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5332 N KILDARE AVE, CHICAGO, IL 60630-1759
(773) 463-3635
Mailing address
5332 N KILDARE AVE, CHICAGO, IL 60630-1759
(773) 463-3635

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
036-55463
IL

Other

Enumeration date
03/31/2006
Last updated
07/08/2007
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