SearchIllinois174400000X

Mfombu Ayukesong, CSA

NPI 1558673376 · on the registry since 2010

Practice

Address
14828 Artesian Ave
Harvey, IL 60426
Phone
(708) 566-4328
Fax
(708) 589-3372
Clinicians at this address
3

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-09

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