Individual
WARDEN UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6129 ELM ST, MORTON GROVE, IL 60053-3227
(847) 219-5827
Mailing address
6129 ELM ST, MORTON GROVE, IL 60053-3227
(184) 721-9582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041333814
IL
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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