Individual
KINGSLEY U ONYEMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1813 W. KIRBY AVENUE, ENDOCRINOLOGY, CHAMPAIGN, IL 61821
(217) 383-3490
(217) 383-3439
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083819
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036110498
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301083819
MI
Other
Enumeration date
08/15/2006
Last updated
05/08/2014
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