Individual
OBIOMA IWUAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-2500
(847) 253-8474
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-2500
(847) 253-8474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003708
STATE LICENSE
IL
Enumeration date
01/14/2011
Last updated
05/24/2021
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