Individual
DR. KENNETH U EKECHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 HARLEM AVE, FOREST PARK, IL 60130-2407
(708) 657-4540
(708) 657-4535
Mailing address
1225 HARLEM AVE, FOREST PARK, IL 60130-2407
(708) 657-4540
(708) 657-4535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-083256
IL
2085R0202X
Diagnostic Radiology Physician
036-083256
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-083256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-083256-4
—
IL
Enumeration date
07/22/2005
Last updated
04/14/2025
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