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General NPI Number Information
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NPI Number | 1629946710
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Entity Type | Individual
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Provider Name | CHINWENDUM UCHECHI EKPEMIRO M.D
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1500 S FAIRFIELD AVE MT SINAI HOSPITAL FAMILY MEDICINE F. 1000 (FRANKEL)
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 312-662-9920
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Fax |
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Provider Business Mailing Address
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Address Line | 924 S CLAREMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 773-823-8435
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.086886
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License Number State | IL
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