Zalwango Health& Wellness Concierge Pc

NPI 1962772996 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1962772996
Enumeration Date 01/06/2012
Last Updated 01/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MADTURA MADTURA
Position PRESIDENT AND SECRETARY
Phone (872) 600-5700
Fax
Practice Location
6315 W RAVEN ST
CHICAGO IL, 60646-3615, US
Phone (872) 600-5700
Fax
Business Location
8610 PRAIRIE ST
MORTON GROVE IL, 60053-2282, US
Phone (872) 600-5700
Fax
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1962772996 NPI Number
 

According to our database, Zalwango Health& Wellness Concierge Pc NPI is 1962772996, taxonomy code is 363L00000X Zalwango Health& Wellness Concierge Pc physically located at 6315 W Raven St, Chicago IL, 60646-3615. NPI Number 1033115704 has the healthcare provider type.

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1962772996 NPI number is provided on an as is basis without warranty of any kind. 1962772996 is maintained by the National Plan & Provider Enumeration System. The contents of Zalwango Health& Wellness Concierge Pc are for informational purposes only.