Individual
FREDA KESEWA AMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 W 60TH PL, CHICAGO, IL 60629-3916
(312) 929-5503
Mailing address
3735 W 60TH PL, CHICAGO, IL 60629-3916
(312) 929-5503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030597
IL
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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