Individual
INUMIDUN KIKELOMO HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
1723 N MERRIMAC AVE, CHICAGO, IL 60639-3801
(773) 297-9793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025559
IL
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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