Individual
IDOWU FLORENCE FAPOHUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WARREN ST, CALUMET CITY, IL 60409-4712
(708) 439-2145
(708) 360-3238
Mailing address
425 WARREN ST, CALUMET CITY, IL 60409-4712
(708) 439-2145
(708) 360-3238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017434
IL
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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