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General NPI Number Information
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NPI Number | 1144887738
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Entity Type | Organization
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Legal Business Name | CHINDIKA HEALTHCARE INC.
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1750 E 87TH ST STE 109
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City | CHICAGO
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State | IL
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Zip | 60617-2706
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Country | US
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Telephone | 312-489-0103
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Fax | 872-266-0204
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Provider Business Mailing Address
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Address Line | PO BOX 806112
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City | CHICAGO
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State | IL
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Zip | 60680-4122
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Country | US
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Telephone | 312-489-0103
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Fax | 872-266-0204
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/CEO
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Name | DR. OTUONYE EZERIBE ONYEWUCHI
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Credential | MD
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Telephone | 312-489-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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