Individual
JESSIE KUE NDUKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(773) 378-3347
(773) 378-4028
Mailing address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(773) 378-3347
(773) 378-4028
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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