Individual
IZE ANUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N 1ST ST STE D308, SPRINGFIELD, IL 62702-3757
(217) 545-4401
(217) 545-1793
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4401
(217) 545-1793
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125078625
IL
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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