Individual
DR. EKENE EZENWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
(312) 695-0537
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036168500
IL
207N00000X
Dermatology Physician
125.077293
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
10/05/2024
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