Individual
JALLWA MAHMOUD ODEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4888
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015181
IL
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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