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Individual

MS. NGOZI V UBAGHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
960 N WASHINGTON AVE, KANKAKEE, IL 60901-2006
(708) 262-2484
Mailing address
960 N WASHINGTON AVE, KANKAKEE, IL 60901-2006
(708) 262-2484

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277002068
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002068
IL

Other

Enumeration date
06/22/2018
Last updated
09/01/2023
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