Organization
CLARA AKHIGBE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA AKHIGBE MD (PEDIATRICIAN)
(773) 962-0633
Entity
Organization
Contact information
Practice address
6307 S STEWART AVE STE 313, CHICAGO, IL 60621-3116
(773) 962-0633
(773) 994-2174
Mailing address
6307 S STEWART AVE STE 313, CHICAGO, IL 60621-3116
(773) 962-0633
(773) 994-2174
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
042617575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042617575
—
IL
Enumeration date
11/18/2011
Last updated
03/16/2017
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