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Individual

FELIX NGEH FONGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
15 SALT CREEK LN, SUITE 111, HINSDALE, IL 60521-2926
(630) 371-0133
(630) 371-0138
Mailing address
15 SALT CREEK LN, SUITE 111, HINSDALE, IL 60521-2926
(630) 371-0133
(630) 371-0138

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041342995
IL
363L00000X
Nurse Practitioner
Primary
209009800
IL

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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