Individual
IVO EWANG EWANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
3116 PRAIRIE ST, AURORA, IL 60506-9229
(630) 566-9165
Mailing address
3116 PRAIRIE ST, AURORA, IL 60506-9229
(630) 566-9165
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041745373
IL
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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