Individual
IKENNA MADUEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1009 S WOOD ST, CHICAGO, IL 60612-3747
(312) 996-2779
Mailing address
1009 S WOOD ST # MC955, CHICAGO, IL 60612-3747
(312) 996-9330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036163560
IL
208800000X
Urology Physician
286592
MA
Other
Enumeration date
04/26/2015
Last updated
11/13/2023
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