Individual provider · Type 1 NPI

Mutengwana Kasapu-Mwaba

Family Nurse Practitioner · Joliet, IL

NPI number 1619480696 Active

Practice location

2025 S Chicago St
Joliet, IL 60436-3172

Mailing address

310 N Hammes Ave
Joliet, IL 60435-8118

Other practice locations

  • 3725 W Nettle Creek Dr, Morris, IL 60450-8732 · (678) 559-5065

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X277002697 (IL)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1619480696

Mutengwana Kasapu-Mwaba's National Provider Identifier is 1619480696, issued on Nov 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Joliet, IL. The record was last updated on Sep 2, 2025.