Organization
OKWUJE MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORVILLE C ROSE (EXECUTIVE DIRECTOR)
(904) 503-1132
Entity
Organization
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 550-5187
Mailing address
PO BOX 26975, JACKSONVILLE, FL 32226-6975
(904) 503-1132
(888) 886-4464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036053172
IL
Other
Enumeration date
10/04/2007
Last updated
05/23/2024
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