Individual
CYNTHIA ANYI OGOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2521 RIDGE RD STE 6, LANSING, IL 60438-2792
(708) 323-8600
(708) 418-0709
Mailing address
2521 RIDGE RD STE 6, LANSING, IL 60438-2792
(708) 323-8600
(708) 418-0709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F09201263
IL
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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