Individual
MISS KEIKO OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1635 WEST CONGRESS PARKWAY, CHICAGO, IL 60612
(312) 943-6370
(312) 943-6052
Mailing address
400 EAST SOUTH WATER ST, APT 3001, CHICAGO, IL 60601
(734) 476-7178
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036122931
IL
Other
Enumeration date
03/14/2007
Last updated
06/24/2009
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