Individual
BEN-PAUL UMUNNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2167
Mailing address
2801 S KING DR APT 115, CHICAGO, IL 60616-2924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U550-0748-6132
IL
Other
Enumeration date
04/04/2012
Last updated
10/26/2014
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