Individual
DR. CHINENYE CHIOMA ANAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
611 W GLEN AVE APT B, PEORIA, IL 61614-4874
(602) 481-2040
Mailing address
611 N. GLEN AVE UNIT B, PEORIA, IL 61614
(602) 481-2040
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
125064211
IL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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