# CHINYERE I ODELUGA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316002181
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 041278213 | IL | — |
| 207Q00000X | Family Medicine Physician | 01045992 | IN | Yes |
| 207Q00000X | Family Medicine Physician | 036092321 | IL | — |
| 208D00000X | General Practice Physician | 01045992 | IN | — |
| 208D00000X | General Practice Physician | 036092321 | IL | — |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 03/21/2013

## 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 |