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NPI Code Detail

MEDICARE: DR. ADAORA MARGO OKONKWO MD

MEDICARE:  DR. ADAORA MARGO OKONKWO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036100663IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063404382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAORA MARGO OKONKWO MD
Provider Business Mailing Address
First Line : 801 S MILWAUKEE AVE
Second Line : CONDELL MEDICAL CENTER, DEPT OF PATHOLOGY
City : LIBERTYVILLE
State : IL
Zip : 60048-3204
Country : US
Telephone Number : 847-990-5155
Fax Number : 847-918-0713
Provider Business Practice Location Address
First Line : 801 S MILWAUKEE AVE
Second Line : CONDELL MEDICAL CENTER, DEPT OF PATHOLOGY
City : LIBERTYVILLE
State : IL
Zip : 60048-3204
Country : US
Telephone Number : 847-990-5155
Fax Number : 847-918-0713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 12/14/2021

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Directions to “ DR. ADAORA MARGO OKONKWO MD” Practice Location

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