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1184902363 NPI number — CHIZOBA NGWUBE M.D.

NPI Number: 1184902363
Health Care Provider/Practitioner: CHIZOBA NGWUBE M.D.

Information about “1184902363” NPI (CHIZOBA NGWUBE M.D.) exists in 1184902363 in HTML format HTML  |  1184902363 in plain Text format TXT  |  1184902363 in PDF (Portable Document Format) PDF  |  1184902363 in an XML format XML  formats.

NPI Number : 1184902363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184902363",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGWUBE",
    "FirstName": "CHIZOBA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NGWUBE",
    "OtherFirstName": "CHIZOBA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "120 AUBURN CT",
    "SecondLineMailingAddress": "UNIT A",
    "MailingAddressCityName": "HIGHLAND",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62249-3881",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-270-6815",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 HEALTH CARE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62246-1154",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-270-6815",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2011",
    "LastUpdateDate": "08/15/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "036132855",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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