Individual
DR. IKE STANLEY OKWUOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 695-2458
Mailing address
2300 S. MICHIGAN AVE, APT #308, CHICAGO, IL 60616
(310) 525-0289
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036132446
IL
207RC0000X
Cardiovascular Disease Physician
036132446
IL
Other
Enumeration date
05/14/2010
Last updated
08/13/2019
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