MRS. NWADIUTOR O IFEZUE FNP
NPI 1205247244
Nurse Practitioner - Family in Richton Park, IL
Active since May 13, 2014
About Mrs. Nwadiutor O Ifezue Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NWADIUTOR O IFEZUE FNP (NPI 1205247244) is an individual family provider in Richton Park, Illinois, licensed in Illinois (041290058) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1205247244
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NWADIUTOR O IFEZUECredential: FNP
Location Address22621 LAKESHORE DRRichton Park, IL 60471-1612
Mailing AddressPo Box 806112, Ste 109Chicago, IL 60680-4122 · (773) 933-9300 · Fax (773) 933-9302
Phone(708) 945-1712
Sole ProprietorYes
Enumeration DateMay 13, 2014
Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration
✔ NPI 1205247244 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 041290058
22621 LAKESHORE DR, Richton Park, IL 60471
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205247244, enumerated as an "individual" on May 13, 2014.
The provider is located at 22621 LAKESHORE DR RICHTON PARK, IL 60471 and the phone number is (708) 945-1712.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
