Individual
MR. EMMANUEL OTUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 WYSTERIA DR, OLYMPIA FIELDS, IL 60461-1228
(708) 983-9088
Mailing address
504 WYSTERIA DR, OLYMPIA FIELDS, IL 60461-1228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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