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Individual

MAREADEL ONGBUECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
(847) 657-1900
(847) 733-5041
Mailing address
4315 N KEDZIE AVE, 1, CHICAGO, IL 60618-1549
(773) 470-7335

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015307
IL
363LF0000X
Family Nurse Practitioner
209015307
IL

Other

Enumeration date
03/07/2017
Last updated
06/04/2024
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