Individual
DONDRA O MBACHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD.
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4150
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4150
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001243
IL
Other
Enumeration date
08/07/2007
Last updated
06/19/2017
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