Individual
DR. BEAUTY UYAI NKEREUWEM ETUKUDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
(847) 318-2966
Mailing address
2600 GOLF RD APT 600, GLENVIEW, IL 60025-4748
(224) 598-9239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083606
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.083606
IL
Other
Enumeration date
08/16/2024
Last updated
08/21/2024
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