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Individual

NDIDI OKANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3348 W 87TH ST, CHICAGO, IL 60652-3767
(773) 776-4471
(773) 564-3510
Mailing address
213 N RACINE AVE, SUITE 100, CHICAGO, IL 60607-1644
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011407
IL
363L00000X
Nurse Practitioner
Primary
NP50000385
DC
363L00000X
Nurse Practitioner
R254241
MD

Other

Enumeration date
04/22/2014
Last updated
09/01/2022
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