Individual provider · Type 1 NPI
Ememobong Sunday Udosen
Primary Care Nurse Practitioner · Lisle, IL
NPI number
1669291183
Active
Practice location
550 Warrenville Rd
Lisle, IL 60532-4308
Mailing address
8340 Kolmar Ave
Skokie, IL 60076-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209029110 (IL) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1669291183
Ememobong Sunday Udosen's National Provider Identifier is 1669291183, issued on Oct 10, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lisle, IL. The record was last updated on Oct 10, 2024.