Organization
LDDP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE NWANKPA (OWNER)
(773) 759-8832
Entity
Organization
Contact information
Practice address
1429 PITNER AVE, EVANSTON, IL 60201-3935
(773) 759-8832
Mailing address
1429 PITNER AVE, EVANSTON, IL 60201-3935
(773) 759-8832
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
316.002694
IL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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