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NPI Code Detail

MEDICARE: DR. EMMANUEL OBUMNEME NWADIKE M.D

MEDICARE: DR. EMMANUEL OBUMNEME NWADIKE M.D
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
1207R00000XInternal Medicine Physician52855WI
2207R00000XInternal Medicine Physician125050586IL
3208M00000XHospitalist Physician52855WI

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 : 1962686485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMMANUEL OBUMNEME NWADIKE M.D
Provider Business Mailing Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 05/13/2026

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