Individual
GAELLE THIAM DWOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 N MARION ST STE 203, OAK PARK, IL 60301-1023
(312) 713-3133
(312) 910-8971
Mailing address
101 N MARION ST STE 203, OAK PARK, IL 60301-1023
(312) 714-3133
(312) 910-8971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.003229
IL
Other
Enumeration date
08/10/2021
Last updated
08/02/2024
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