Individual
IFUNANYA FAVOUR CHRIS-UKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-7095
(773) 296-9420
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-4371
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010487
IL
Other
Enumeration date
07/01/2022
Last updated
10/18/2024
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