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Imaobong Patrick Udonkang
Family Nurse Practitioner in Merrionette Park, Illinois
NPI 1093431173

Imaobong Patrick Udonkang is a Family Nurse Practitioner based in Merrionette Park, IL and is specialized in Family. Imaobong Patrick Udonkang practices in Merrionette Park, IL. The NPI Number for Imaobong Patrick Udonkang is 1093431173 and holds a License No. 209.026142 (Illinois).

The current practice location address for Imaobong Patrick Udonkang is 3315 W 115Th St Unit C, Merrionette Park, IL and can be reached out via phone at 708-907-4355.

Location: 3315 W 115Th St Unit C, Merrionette Park, IL, 60803-4556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093431173
Provider Name
Imaobong Patrick Udonkang
Credential
Provider Entity Type
Individual
Gender
Female
Address
3315 W 115Th St Unit C, Merrionette Park, IL, 60803-4556
Phone Number
708-907-4355
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3315 W 115Th St Unit C
City
Merrionette Park
State
Illinois
Zip
60803-4556
Phone Number
708-907-4355
Fax Number
person
Provider Business Mailing Address Details
Address
3315 W 115Th St Unit C
City
Merrionette Park
State
Illinois
Zip
60803-4556
Phone Number
708-907-4355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.026142 (Illinois)
Definition
Definition to come...
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