Organization
IMPACT FAMILY HEALTH CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GAYL EKWUEME MD (PRESIDENT)
(773) 398-8380
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 305, CHICAGO, IL 60657-5188
(773) 404-0515
Mailing address
2045 W HOWARD ST, CHICAGO, IL 60645-2113
(773) 398-8380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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