Individual
NINEF JOHN ISHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2644 DEMPSTER ST STE 202, PARK RIDGE, IL 60068-8431
(312) 804-3794
Mailing address
2644 DEMPSTER ST STE 202, PARK RIDGE, IL 60068-8431
(224) 361-3054
(224) 875-3040
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
14D2320480
IL
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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