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Individual

MRS. CHARITY NWARU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN

Contact information

Practice address
1313 MEYER CT, HOMEWOOD, IL 60430-4545
(708) 250-0647
Mailing address
1313 MEYER CT, HOMEWOOD, IL 60430-4545

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041301740
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041301740
NURSING LICENSE
IL
Enumeration date
10/17/2018
Last updated
10/17/2018
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