Individual
MR. CHIMENE WOSUEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7516 N DAMEN AVE, CHICAGO, IL 60645-2501
(312) 613-7559
(773) 961-8337
Mailing address
7516 N DAMEN AVE, CHICAGO, IL 60645-2501
(312) 613-7559
(773) 961-8337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043116109
IL
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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