Individual
SOPHIE NYAMBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
Mailing address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
02/01/2017
Last updated
09/03/2021
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