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Itoro Etim

NPI 1295002970 · on the registry since 2011

Practice

Address
1900 W Jefferson St
Springfield, IL 62702
Phone
(217) 787-0648
Organisation at this address
Walgreen Co
Walgreen Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-22

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