Individual
JOY NGOZI ADUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3029 POLLY LN, FLOSSMOOR, IL 60422-1720
(708) 510-0768
Mailing address
3029 POLLY LN, FLOSSMOOR, IL 60422-1720
(708) 510-0768
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.028692
IL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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