Individual
UJU EZIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8807 FAIRFIELD LN, TINLEY PARK, IL 60487-4431
(773) 255-0785
Mailing address
8807 FAIRFIELD LN, TINLEY PARK, IL 60487-4431
(773) 255-0785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027866
IL
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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