Individual
IRENE ODELUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RN FNP - BC
Contact information
Practice address
915 W CHICAGO AVE, EAST CHICAGO, IN 46312-3308
(219) 397-6000
(219) 397-6358
Mailing address
915 W CHICAGO AVE, EAST CHICAGO, IN 46312-3308
(219) 397-6000
(219) 397-6358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004855A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71004855A
LICENSE
IN
Enumeration date
03/21/2014
Last updated
03/21/2014
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