Most Relevant Information
Provider Data
| NPI Number: | 1003444779 |
| Provider Name: | CHIMUANYA OKOLI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2020 |
| Last Updated: | 01/10/2021 |
Provider Practice Location
836 W WELLINGTON AVE
CHICAGO
IL
606575147
Practice Location Phone/Fax
| Phone: | 7732965424 |
| Fax: |
Provider Mailing Location
836 W WELLINGTON AVE
CHICAGO
IL
606575147
Provider Mailing Phone/Fax
| Phone: | 7732965424 |
| Fax: |