Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-01373 | NC |
N | 111NI0900X | Internist | 2012-01373 | NC |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E-11428 | AR |
Y | 207RC0000X | Internist - Cardiovascular Disease | 01084377A | IN |
NPI | 1174752554 |
---|---|
Provider Name | Onyedika John Ilonze |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 12/03/2021 |