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Individual

CHIKE GWAM

Active
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Individual

CHIKE GWAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036092094
IL
207L00000X
Anesthesiology Physician
Primary
036-092094
IL
207LP3000X
Pediatric Anesthesiology Physician
036-092094
IL
208000000X
Pediatrics Physician
036-092094
IL

Other

Enumeration date
06/19/2006
Last updated
04/26/2021
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