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Dr. Luningning Gayapa Madamba, MD
Military Health Care Provider in Chicago, Illinois
NPI 1144281882

Luningning Gayapa Madamba is a Military Health Care Provider based in Chicago, IL. Luningning Gayapa Madamba practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Luningning Gayapa Madamba is 1144281882 and holds a License No. 036-55463 (Illinois).

The current practice location address for Luningning Gayapa Madamba is 5332 N Kildare Ave, Chicago, IL and can be reached out via phone at 773-463-3635.

Location: 5332 N Kildare Ave, Chicago, IL, 60630-1759
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Provider Profile Details
NPI Number
1144281882
Provider Name
Luningning Gayapa Madamba
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5332 N Kildare Ave, Chicago, IL, 60630-1759
Phone Number
773-463-3635
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5332 N Kildare Ave
City
State
Zip
60630-1759
Phone Number
773-463-3635
Fax Number
person
Provider Business Mailing Address Details
Address
5332 N Kildare Ave
City
State
Zip
60630-1759
Phone Number
773-463-3635
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
036-55463 (Illinois)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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