Individual
FAROUK AWANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 UNIVERSITY DR, EDWARDSVILLE, IL 62025-5546
(319) 471-6066
Mailing address
1070 UNIVERSITY DR, EDWARDSVILLE, IL 62025-5546
(319) 471-6066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167715
IA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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