EBELE NWOGO CHINWUBA

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

ACTIVE

N

EBELE NWOGO

CHINWUBA

EBELE NWOGO CHINWUBA

07/21/1997

07/05/2023

07/31/2026

PARK RIDGE

IL

60068

COOK

II III IV V

N

07/05/2023