Individual
ADWOA OFORI-KURAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N ASHBURY AVE, BOLINGBROOK, IL 60440-2103
(630) 885-0310
Mailing address
405 N ASHBURY AVE, BOLINGBROOK, IL 60440-2103
(630) 885-0310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028472
IL
Other
Enumeration date
08/29/2023
Last updated
03/13/2024
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