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Organization
BURNHAM MEDICAL CENTER LTD
Active
Organization
BURNHAM MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NWANNEKA NWOKOLO MD (PHYSICIAN)
(708) 206-0290
Entity
Organization
Contact information
Practice address
1515 DUNFRIES ST, FLOSSMOOR, IL 60422-4386
(708) 206-0290
(866) 261-3402
Mailing address
1515 DUNFRIES ST, FLOSSMOOR, IL 60422-4386
(708) 206-0290
(866) 261-3402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036102719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102719
—
IL
Enumeration date
07/24/2008
Last updated
07/24/2008
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