Individual
JOHN ACQUAYE-AWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 S CLARK ST, UNIT 403, CHICAGO, IL 60605-1743
(773) 807-0555
(312) 583-1558
Mailing address
730 S CLARK ST, UNIT 403, CHICAGO, IL 60605-1743
(773) 807-0555
(312) 583-1558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102126
—
IL
Enumeration date
07/14/2006
Last updated
03/28/2012
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