Individual
CHARLES EMEKA UMUNNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 216-9000
Mailing address
2707 WESTMINSTER AVE, RICHMOND, IN 47374-6591
(630) 336-1093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01077068A
IN
207L00000X
Anesthesiology Physician
Primary
036150236
IL
207L00000X
Anesthesiology Physician
ME123764
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
10/01/2024
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