Individual
BRENDA NNABUEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11401 S OAKLEY AVE, CHICAGO, IL 60643-4196
(773) 233-6311
Mailing address
20557 TYLER DR, LYNWOOD, IL 60411-8572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018746
IL
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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