Individual provider · Type 1 NPI

Mariam Diallo Fofana, FNP-BC

Family Nurse Practitioner · Chicago, IL

NPI number 1962867267 Active

Practice location

840 W Irving Park Rd
Chicago, IL 60613-3011

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	277000533 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1962867267

Mariam Diallo Fofana, FNP-BC's National Provider Identifier is 1962867267, issued on Dec 31, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2025.