Individual
DR. JIFUNZA CHARLENE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11110 S SAWYER AVE, CHICAGO, IL 60655-2724
(773) 881-7191
(773) 239-4259
Mailing address
11110 S SAWYER AVE, CHICAGO, IL 60655-2724
(773) 881-7191
(773) 239-4259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036094988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621528
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/08/2007
Last updated
07/31/2008
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