Gachugu Medical Clinic
NPI #1003414442 in Wood River, Illinois
Provider Information
- NPI Number
- 1003414442
- Entity Type
- Organization
- Organization Name
- Gachugu Medical Clinic
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 16, 2020
- Last Updated
- Oct 23, 2020
Practice Location
- Address
- 1 E FERGUSON AVE
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1903
- Phone
- (618) 251-8138
Authorized Official
- Name
- MR. WILSON GACHUGU NDUNGU, NP
- Title
- AUTHORIZED OFFICIAL/OWNER
- Phone
- (618) 917-9463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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