Individual
CORNELIA ADAJI NKWOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
3136 W FARGO AVE, CHICAGO, IL 60645-1110
(773) 771-5080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019052
IL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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