Individual
MRS. FATIMA I AYUBA-UDOIWOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041342973
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209008519
IL
Other
Enumeration date
11/23/2010
Last updated
01/26/2012
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