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Individual

UGONWA GLORIA IZUEGBU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10551 S EWING AVE, CHICAGO, IL 60617-6220
(630) 215-7270
Mailing address
10551 S EWING AVE, CHICAGO, IL 60617-6220

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277004506
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277004506
IL

Other

Enumeration date
05/08/2020
Last updated
12/17/2025
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