Imo Asuquo Ebong
Internist Advanced Heart Failure and Transplant Cardiologist
5841 S Maryland Ave Ste Mc6080
Chicago
, Illinois 60637
Imo Asuquo Ebong
Internist Advanced Heart Failure and Transplant Cardiologist
5841 S Maryland Ave Ste Mc6080
Chicago
, Illinois 60637
(737) 702-0308
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
Languages spoken
- English
Location
First Address
- Imo Asuquo Ebong
- 180 Harvester Dr Ste 110
- Burr Ridge, IL
- Zip : 60527-4503
- Fax : (737) 702-0308
- Phone : (773) 702-1150
Second Address
- Imo Asuquo Ebong
- 5841 S Maryland Ave Ste Mc6080
- Chicago, IL
- Zip : 60637
- Fax : (737) 702-0308
- Phone : (737) 702-5211
Reviews
FAQs
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Where did Imo Asuquo Ebong do her residency?
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Is Imo Asuquo Ebong a sole practitioner?
Is Imo Asuquo Ebong accepting new patients?
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Does Imo Asuquo Ebong have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 50191 | AZ |
| N | 111NI0900X | Internist | 50191 | AZ |
| N | 207R00000X | Internist | A119607 | CA |
| N | 111NI0900X | Internist | A119607 | CA |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036-122513 | IL |
National Provider Identifier
| NPI | 1699932707 |
|---|---|
| Provider Name | Imo Asuquo Ebong |
| First Address | Burr Ridge, IL 60527-4503 |
| Second Address | Chicago, IL 60637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2008 |
| Last Update Date | 06/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1902846306 | GROUP NPI (01) | CA |
| GR0100430 | GROUP MEDI-CAL (01) | CA |
| W18762 | GROUP MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.