Individual
CHIZOR ODIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5337
Mailing address
1400 US HIGHWAY 61 STE H1521, FESTUS, MO 63028-4100
(636) 933-5337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.126762
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2023006859
MO
208M00000X
Hospitalist Physician
036.126762
IL
Other
Enumeration date
09/15/2008
Last updated
05/24/2023
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