Individual
MRS. ABIGAIL UGOAGHA OGUNNIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4363 MAPLE TER, COUNTRY CLUB HILLS, IL 60478-5541
(773) 440-1368
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.010627
IL
363LF0000X
Family Nurse Practitioner
Primary
277000463
IL
Other
Enumeration date
08/22/2013
Last updated
03/11/2022
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