Individual
OGECHI NWOSU HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(630) 687-5409
Mailing address
2160 S 1ST AVE RM 7609, MAYWOOD, IL 60153-3328
(630) 687-5409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125080828
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125080828
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
06/02/2023
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