Individual
DR. NNEKA UDONNA ICHOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., MPH
Contact information
Practice address
9759 MANCHESTER RD, SAINT LOUIS, MO 63119-1346
(314) 781-4922
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0030507
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016016734
MO LICENSE
MO
Enumeration date
06/25/2008
Last updated
07/28/2016
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