Individual
CHINWIKE T AGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5978
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(845) 544-3576
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036169487
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036169487
IL
Other
Enumeration date
04/13/2019
Last updated
10/01/2024
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