Dolly Osas Agba NURSE PRACTITIONER

NPI 1023027869 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1023027869
Gender Female
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1106 NEAL AVE
JOLIET IL, 60433-2548, US
Phone (815) 727-8670
Fax (815) 740-8149
Business Location
908 SHILOH CT
JOLIET IL, 60431-9307, US
Phone (815) 744-3481
Fax (815) 744-3481
Toxanomy
Taxonomy Code 363LA2200X
License State Illinois
License Number 209-006082
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According to our database, Dolly Osas Agba NURSE PRACTITIONER NPI is 1023027869, taxonomy code is 363LA2200X and license number is 209-006082, license state is located at Illinois. Dolly Osas Agba NURSE PRACTITIONER physically located at 1106 Neal Ave, Joliet IL, 60433-2548. NPI Number Dolly Osas Agba NURSE PRACTITIONER has the Individual type.

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1023027869 NPI number is provided on an as is basis without warranty of any kind. 1023027869 is maintained by the National Plan & Provider Enumeration System. The contents of Dolly Osas Agba NURSE PRACTITIONER are for informational purposes only.