Most Relevant Information
Provider Data
| NPI Number: | 1003836446 |
| Provider Name: | BENEDICTA UMORU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 036100162 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 05/13/2016 |
Provider Practice Location
5032 N ILLINOIS ST
STE B
FAIRVIEW HEIGHTS
IL
622083415
Practice Location Phone/Fax
| Phone: | 6184169005 |
| Fax: | 6186419452 |
Provider Mailing Location
PO BOX 2015
FAIRVIEW HEIGHTS
IL
622080215
Provider Mailing Phone/Fax
| Phone: | 6183559970 |
| Fax: | 6183559972 |
Suggested EMR
Internist EMR