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Search › Illinois › 363LF0000X

Jean Kombwa, APN

NPI 1083266878 · on the registry since 2019 · sole proprietor

Practice

Address
26w212 Geneva Rd
Carol Stream, IL 60188
Phone
(630) 510-1065
Fax
(630) 389-0023
Organisation at this address
Highland Park Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois