Individual
ONYEKWELU EDWARD CHIDUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17450 S. HALSTED AVE, STE 260, HOMEWOOD, IL 60430
(708) 799-5010
Mailing address
5401 S HYDE PARK BLVD, #904, CHICAGO, IL 60615-5829
(708) 305-2730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
238000213
IL
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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