Individual
MR. SEBASTIAN EKESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 N WINTHROP AVE FL 1, CHICAGO, IL 60640-2309
(773) 798-7549
Mailing address
5321 N WINTHROP AVE FL 1, CHICAGO, IL 60640-2309
(773) 798-7549
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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