Individual
MRS. DOROTHY MATO AKAEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
(708) 210-0625
Mailing address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
(708) 210-0625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013426
IL
363LF0000X
Family Nurse Practitioner
71009004A
IN
Other
Enumeration date
10/14/2015
Last updated
04/28/2022
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