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Individual
CHINYERE I ODELUGA
Active
Individual
CHINYERE I ODELUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041278213
IL
207Q00000X
Family Medicine Physician
Primary
01045992
IN
207Q00000X
Family Medicine Physician
036092321
IL
208D00000X
General Practice Physician
01045992
IN
208D00000X
General Practice Physician
036092321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093249
ANTHEM BC BS
—
01
—
01045992
LICENSE BOARD
IN
01
—
036092321
LICENSE BOARD
IL
01
—
080148349
PALMETO GBA MEDICAL
—
01
—
10784830
LAQH
—
05
—
200118940
—
IN
Enumeration date
12/22/2006
Last updated
03/21/2013
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