Individual
CHIDUBEM JUSTICE IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-9725
(312) 864-9725
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-0000
(312) 864-9725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125081165
IL
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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