Organization
NORTHWEST MEDICAL ASSOCIATES OF CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGBONNAYA ANEZIOKORO MD (PRESIDENT/CEO)
(773) 262-4588
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 262-4588
(773) 761-5742
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 262-4588
(773) 761-5742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8417110959
EIN NUMBER
IL
Enumeration date
08/29/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us