Individual
DOLLY JOHNSON EWILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(312) 493-1673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170135
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.078376
IL
Other
Enumeration date
07/25/2021
Last updated
05/08/2024
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