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Organization
UCHE OLEKANMA M.D S.C
Active
Organization
UCHE OLEKANMA M.D S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCHENNA OLEKANMA M.D (PRESIDENT)
(773) 863-5162
Entity
Organization
Contact information
Practice address
8201 S ASHLAND AVE, CHICAGO, IL 60620-4626
(773) 873-3434
(773) 873-0208
Mailing address
8201 S ASHLAND AVE, CHICAGO, IL 60620-4626
(773) 873-3434
(773) 873-0208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114328
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114328
PROFESSIONAL LICENCE
IL
05
—
036114328
—
IL
01
—
11581877
CAQH
IL
01
—
14D1075800
CLIA
IL
01
—
1821287871
NPI NUMBER
IL
01
—
20014750
IL PCP
IL
01
—
22001745P03
PLICA
—
01
—
5566-0185
ILLINOIS IBT
IL
Enumeration date
10/16/2007
Last updated
03/07/2023
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