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Grace Nwaka Wabomnor, ANP
Adult Health Nurse Practitioner in South Holland, Illinois
NPI 1548725799

Grace Nwaka Wabomnor is an Adult Health Nurse Practitioner based in South Holland, IL and is specialized in Adult Health. Grace Nwaka Wabomnor practices in South Holland, IL and has the professional credentials of ANP. The NPI Number for Grace Nwaka Wabomnor is 1548725799 and holds a License No. 209018727 (Illinois).

The current practice location address for Grace Nwaka Wabomnor is 17 E Grandview Dr, South Holland, IL and can be reached out via phone at 708-439-5003.

Location: 17 E Grandview Dr, South Holland, IL, 60473-1099
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Provider Profile Details
NPI Number
1548725799
Provider Name
Grace Nwaka Wabomnor
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
17 E Grandview Dr, South Holland, IL, 60473-1099
Phone Number
708-439-5003
Fax Number
Provider Enumeration Date
02/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209018727 01 IL ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
17 E Grandview Dr
City
State
Zip
60473-1099
Phone Number
708-439-5003
Fax Number
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Provider Business Mailing Address Details
Address
17 E Grandview Dr
City
State
Zip
60473-1099
Phone Number
708-439-5003
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209018727 (Illinois)
Definition
Definition to come...
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