Individual
MS. JENNIS UZOAMAKA IRUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 381-7715
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 381-7715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-130054
IL
207R00000X
Internal Medicine Physician
11013282A
IN
Other
Enumeration date
05/13/2008
Last updated
11/01/2016
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