Individual
CAROLINE EBOT ENOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2616 MC DUFFEE CIR, NORTH AURORA, IL 60542-2027
(630) 906-1874
Mailing address
12040 RAYMOND CT, HUNTLEY, IL 60142-8069
(847) 515-1505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017332
IL
363LF0000X
Family Nurse Practitioner
209017332
IL
Other
Enumeration date
01/07/2019
Last updated
01/23/2019
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