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General NPI Number Information
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NPI Number | 1447389994
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Entity Type | Individual
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Provider Name | NGOZI OGBUNAMIRI EZIKE MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4800 W CHICAGO AVE 1ST FLOOR
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City | CHICAGO
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State | IL
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Zip | 60651-3223
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Country | US
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Telephone | 773-826-9600
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Fax | 773-826-9601
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | LA GRANGE
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State | IL
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Zip | 60525-0292
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Country | US
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Telephone | 708-288-8222
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Fax | 708-579-9573
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36-108225
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | IL
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