Individual
DR. EDWIN E. EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10830 S HALSTED ST, CHICAGO, IL 60628-3126
(773) 264-1400
(773) 264-1401
Mailing address
10830 S HALSTED ST, CHICAGO, IL 60628-3126
(773) 264-1400
(773) 264-1401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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