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Contact Information

CHARLOTTE N DJOMGOUE
2650 RIDGE AVE
EVANSTON, IL60201-1700
 Phone: 847-570-2714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for CHARLOTTE N DJOMGOUE · (Female)

NPI Number 1992425409
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2022
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041412436
  • IL License # 209025824
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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