Individual
PETER SSEMPAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 WILLOW BROOKE DR APT 1A, WOODSTOCK, IL 60098-5264
(978) 654-3436
Mailing address
2111 WILLOW BROOKE DR APT 1A, WOODSTOCK, IL 60098-5264
(978) 654-3463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043118126
IL
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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