Individual
AYANA A ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 243-2223
(312) 243-2227
Mailing address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 243-2223
(312) 243-2227
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209021473
IL
Other
Enumeration date
03/17/2021
Last updated
11/21/2024
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