Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 209024482 | IL |
NPI | 1033861067 |
---|---|
Provider Name | Ngozi Sheila Uwadiale |
First Address | Plainfield, IL 60544-7326 |
Second Address | Plainfield, IL 60544-7326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2022 |
Last Update Date | 20/01/2022 |