Individual
DR. CHIAGOZIEM JANE NDULUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(618) 222-4792
Mailing address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(618) 222-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036171759
IL
207Q00000X
Family Medicine Physician
2023-00632
NC
207Q00000X
Family Medicine Physician
ML60866561
WA
Other
Enumeration date
05/04/2018
Last updated
10/14/2024
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