Individual
MR. UKPENAHIUSI S IGHODARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
231 W MAIN ST STE 101, CARPENTERSVILLE, IL 60110-1772
(847) 428-1515
(847) 428-0024
Mailing address
2040 OGDEN AVE 313, AURORA, IL 60504-7205
(630) 692-5208
(630) 499-2399
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
070.009441
IL
Other
Enumeration date
01/23/2008
Last updated
10/23/2015
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