Individual
ONYINYECHI KELECHUKWU ESONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
620 W NORTH AVE, MELROSE PARK, IL 60160-1671
(708) 316-2056
Mailing address
620 W NORTH AVE, MELROSE PARK, IL 60160-1671
(708) 316-2056
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.034118
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR60757258
WA
Other
Enumeration date
02/20/2017
Last updated
07/12/2023
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