Individual
NKONGHO MOSES DEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W WASHINGTON ST, OSWEGO, IL 60543-9817
(630) 346-6150
(630) 892-5299
Mailing address
203 W WASHINGTON ST, OSWEGO, IL 60543-9817
(630) 346-6150
(630) 892-5299
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36594TX
IL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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