Individual
DR. KEKE S UZOKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
167 N MARION ST, OAK PARK, IL 60301-1032
(708) 351-9743
Mailing address
167 N MARION ST, OAK PARK, IL 60301-1032
(708) 351-9743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36111657
IL
207R00000X
Internal Medicine Physician
Primary
01061346
IN
208M00000X
Hospitalist Physician
208M00000
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480318
ANTHEM
IN
05
—
200810890
—
IN
Enumeration date
08/02/2005
Last updated
07/29/2020
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