Individual
ULUNNA KECHINYERE MACBEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9515 HOLY CROSS LN STE 175, BREESE, IL 62230-3618
(618) 526-8430
Mailing address
9401 HOLY CROSS LN STE 113, BREESE, IL 62230-3510
(618) 526-8430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036146370
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
07/08/2020
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