Individual
JUDITH O IFIANAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
24 S PLUM GROVE RD, PALATINE, IL 60067-6243
(847) 235-6130
(847) 235-6135
Mailing address
4711 GOLF RD STE 1250, SKOKIE, IL 60076-1232
(847) 235-6130
(847) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019147
IL
363LF0000X
Family Nurse Practitioner
F02190758
IL
Other
Enumeration date
02/15/2019
Last updated
06/07/2019
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