Most Relevant Information
Provider Data
| NPI Number: | 1003505215 |
| Provider Name: | JENNIFER GODWIN OKON M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2023 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
2840 WEST FULTON STREET
APARTMENT 2FF
CHICAGO
IL
60612
Practice Location Phone/Fax
| Phone: | 3123151182 |
| Fax: |
Provider Mailing Location
2840 WEST FULTON STREET
APARTMENT 2FF
CHICAGO
IL
60612
Provider Mailing Phone/Fax
| Phone: | 3123151182 |
| Fax: |