Individual
DR. NOREDIA ITOHAN ALILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(847) 723-5313
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(847) 723-5313
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
036119200
IL
208000000X
Pediatrics Physician
036119200
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-119200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
Enumeration date
06/03/2008
Last updated
04/28/2022
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