Individual
MR. KENNETH OBIKILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
941 W WINDSOR AVE, CHICAGO, IL 60640-5754
(773) 510-6115
Mailing address
PO BOX 408963, CHICAGO, IL 60640-8963
(773) 510-6115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.383413
IL
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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