Individual
KHUKHEPER AWAKOAIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E CHESTNUT ST, CHICAGO, IL 60611-2401
(510) 427-9650
Mailing address
260 E CHESTNUT ST, CHICAGO, IL 60611-2401
(510) 427-9650
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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