Individual
IJEOMA MADUEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-147445
IL
208M00000X
Hospitalist Physician
Primary
036147445
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2015
Last updated
10/13/2023
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