Individual
MISS UFUOMA CHINENYE IDJESA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HOOKER ST STE 301, CHICAGO, IL 60642-4633
(312) 943-3600
(312) 943-3096
Mailing address
1441 W FARWELL AVE APT 1F, CHICAGO, IL 60626-6900
(847) 276-6658
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041393914
IL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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