Individual
MR. CYRIL IFEANYI EZEANYAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
303 E WACKER DR STE 1127, CHICAGO, IL 60601-5215
(217) 766-2712
(312) 312-9644
Mailing address
2980 190TH PL, LANSING, IL 60438-3469
(773) 936-1987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.030594
IL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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