Individual
DORIS CHIZOMA IHEJIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4259 S BERKELEY AVE, CHICAGO, IL 60653-3030
(773) 268-7600
Mailing address
2723 W BERWYN AVE APT 3, CHICAGO, IL 60625-3460
(312) 371-5995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023288
IL
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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