Individual
WINNIE KAMUKAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 CHARLES ST STE 300, ROCKFORD, IL 61104-2200
(779) 696-5888
Mailing address
1340 CHARLES ST STE 300, ROCKFORD, IL 61104-2200
(779) 696-5888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031600
IL
Other
Enumeration date
02/17/2025
Last updated
06/11/2025
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