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Individual

DR. JUDITH CHINENYE UKABAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5 FOUNDERS ST STE 100, WILLIMANTIC, CT 06226-2049
(860) 423-9764
(860) 724-2580
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67254
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
67254
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/19/2017
Last updated
08/24/2021
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