Individual
JANET NKEMDILIM NWAUKONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(847) 535-7157
(312) 694-0655
Mailing address
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030-2026
(847) 535-7157
(312) 694-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125079061
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
07/07/2021
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