Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 125.076689 | IL |
Y | 111NI0900X | Internist | 125.076689 | IL |
NPI | 1003444779 |
---|---|
Provider Name | Dr. Chimuanya Okoli |
First Address | Chicago, IL 60657-5147 |
Second Address | Chicago, IL 60657-5147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2020 |
Last Update Date | 10/01/2021 |