Individual
GRACE NGOZI ENEOGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
795 CITADEL CT, DES PLAINES, IL 60016-6489
(847) 635-8142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007655
IL
363LP2300X
Primary Care Nurse Practitioner
209007655
IL
Other
Enumeration date
08/11/2009
Last updated
03/07/2024
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