Individual
CHIOMA EZEANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657
(773) 665-3022
Mailing address
2630 N HAMPDEN CT, # 215, CHICAGO, IL 60614-1769
(205) 566-0888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060361
IL
208M00000X
Hospitalist Physician
Primary
036134081
IL
Other
Enumeration date
09/21/2011
Last updated
07/24/2018
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