NPI 1073068995

Mary Udoh

Practitioner Homemaker Chicago, IL

Practice location

Address: 4554 N Broadway St Suite #333, Chicago, IL 60640-5642
Phone: (312) 208-7304

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 3001321 (IL)

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Registry record

NPI: 1073068995
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2016
Record last updated: 21 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.