Individual
MARTHA EGIEBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10001 W ROOSEVELT RD STE 308, WESTCHESTER, IL 60154-2662
(708) 410-2007
(708) 410-2017
Mailing address
865 WILLOW LN, WILLOWBROOK, IL 60527-5339
(708) 410-2007
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1011319
IL
Other
Enumeration date
02/07/2011
Last updated
05/19/2022
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