Individual
DR. CHRISTIAN ENYINNA OKEZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
972 E 133RD ST, CHICAGO, IL 60827-1428
(773) 291-0035
(773) 291-0037
Mailing address
3124 KATHLEEN LN, FLOSSMOOR, IL 60422-1744
(773) 291-0035
(773) 291-0037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036056093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056093
—
IL
Enumeration date
12/17/2006
Last updated
10/12/2012
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