Individual
DIRIN UKWADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-9310
Mailing address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(470) 697-8044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125079598
IL
390200000X
Student in an Organized Health Care Education/Training Program
BP10075643
TX
Other
Enumeration date
05/27/2021
Last updated
08/27/2024
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