Individual
EKAETTE PEACE IGBINOVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12600 RENAISSANCE CIR, HOMER GLEN, IL 60491-5891
(708) 301-0800
Mailing address
12600 RENAISSANCE CIR, HOMER GLEN, IL 60491-5891
(708) 301-0800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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