Individual
ANWULI O. OKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST FL 7, OAK LAWN, IL 60453-2600
(708) 684-4584
(708) 520-1919
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036100619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361006191
—
IL
01
—
04920125
BC/BS OF IL
IL
Enumeration date
04/03/2006
Last updated
05/30/2023
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