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Individual

ALOWONLE MUDASHIR AWEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1544 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 232-2300
Mailing address
1544 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 232-2300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027679
IL

Other

Enumeration date
09/15/2023
Last updated
09/15/2023
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