Individual
DR. EMMANUEL NWUMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3061 7TH ST, MOLINE, IL 61265-5903
(708) 275-0901
(708) 275-0901
Mailing address
3061 7TH ST, MOLINE, IL 61265-5903
(708) 275-0901
(309) 736-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01063204
IN
207Q00000X
Family Medicine Physician
Primary
036.117498
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.117498
ILLINOIS LICENSE NUMBER
IL
Enumeration date
05/01/2007
Last updated
06/07/2012
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