Individual
ELIZABETH O OMOFONMWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ROSE HILL CT, ALGONQUIN, IL 60102-6405
(224) 375-0455
Mailing address
5 ROSE HILL CT, ALGONQUIN, IL 60102-6405
(224) 375-0455
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
03/20/2024
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