Individual
MARIAN NWAMAKA CHUKWUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
(773) 344-3158
Mailing address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209017641
IL
Other
Enumeration date
09/26/2018
Last updated
01/19/2019
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