Individual
EKTA DUGGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(000) 000-0000
Mailing address
PO BOX 957165, HOFFMAN ESTATES, IL 60195-7165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020212
IL
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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