Individual
EMMANUELLA ADETORO ODUGUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 942-5850
Mailing address
1611 W HARRISON ST STE 201, CHICAGO, IL 60612-4861
(312) 942-5850
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125086952
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.086952
IL
Other
Enumeration date
07/04/2020
Last updated
07/23/2025
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