Individual
JOSEPH DONKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 JORDAN WAY, BOLINGBROOK, IL 60440-1376
(630) 664-5367
Mailing address
539 JORDAN WAY, BOLINGBROOK, IL 60440-1376
(630) 664-5367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043113312
IL
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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