Individual
DR. IKENNA CHIKEZIRI OKPAREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MADISON ST, SUITE 305, JOLIET, IL 60435-6549
(815) 729-0450
(815) 729-0459
Mailing address
19627 LA GRANGE RD, MOKENA, IL 60448-9360
(815) 729-0450
(815) 729-0459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.054301
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036-127377
IL
Other
Enumeration date
06/23/2010
Last updated
06/18/2014
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