Individual
MRS. MIRIAM DE OCAMPO MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
347 DEERING LN, BOLINGBROOK, IL 60440-6164
(312) 569-6241
Mailing address
347 DEERING LN, BOLINGBROOK, IL 60440-6164
(312) 569-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.346313
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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