Organization
AFFECTION WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAELLE DWOMOH NP (ADVANCED PRACTICE REGISTERED NURSE)
(312) 714-3133
Entity
Organization
Contact information
Practice address
101 N MARION ST STE 203, OAK PARK, IL 60301-1023
(312) 714-3133
(312) 910-8971
Mailing address
101 N MARION ST STE 203, OAK PARK, IL 60301-1023
(312) 714-3133
(312) 910-8971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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