Individual
COLLINS O MBACHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
3017 W GEORGE ST UNIT G, CHICAGO, IL 60618-7637
(219) 448-1116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036179707
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2022
Last updated
05/06/2026
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