Individual
MRS. MANYI JOELLE NFUNDOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 S KING DR, CHICAGO, IL 60616-4746
(312) 842-7117
(312) 842-6155
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(773) 967-5805
(773) 967-5808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005132
IL
Other
Enumeration date
10/03/2014
Last updated
12/20/2021
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