Individual
DR. JOHANNA GRACIELLA MENOR NALUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE FL 4, CHICAGO, IL 60612-3765
(312) 864-4166
(312) 864-9954
Mailing address
16206 GOLFVIEW DR, LOCKPORT, IL 60441-4655
(331) 253-8810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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