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Mutiat Kuforiji

Registered Nurse in Matteson, IL. Individual provider (NPI-1).

NPI number1790445708
StatusActive
Last updated in NPPESDec 19, 2021

Details

NPI
1790445708
Entity type
Individual (NPI-1)
Name
Mutiat Kuforiji
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2021
Certification date
Dec 17, 2021
Last updated
Dec 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041464352ILYes

Practice location

21141 Sophia Dr
Matteson, IL 60443-1869

Phone 773-629-9754

Mailing address

21141 Sophia Dr
Matteson, IL 60443-1869

Phone 773-629-9754

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