Healthcare Provider Details

I. General information

NPI: 1801685599
Provider Name (Legal Business Name): CHIDINMA SOMTOCHUKWU ONONOGBU MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N. 92ND ST SUITE 730 MEDICAL EDUCATION OFFICE, CHILDREN'S CORPORATE CENTER
MILWAUKEE WI
53226
US

IV. Provider business mailing address

999 N. 92ND ST SUITE 730 MEDICAL EDUCATION OFFICE, CHILDREN'S CORPORATE CENTER
MILWAUKEE WI
53226
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-6800
  • Fax:
Mailing address:
  • Phone: 414-266-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: