Individual
UCHE MICHAEL ESEDEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
5013 FLORENCE AVE APT 3, DOWNERS GROVE, IL 60515-3973
(972) 861-0824
Mailing address
5013 FLORENCE AVE APT 3, DOWNERS GROVE, IL 60515-3973
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3472
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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