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General NPI Number Information
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NPI Number | 1932219391
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Entity Type | Individual
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Provider Name | IFEOMA CHINYERE OKORAFOR-CHIDUME D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 2103 CRAWFORD AVE
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City | EVANSTON
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State | IL
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Zip | 60201-1822
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Country | US
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Telephone | 847-332-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 5360 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60625-2316
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Country | US
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Telephone | 773-723-3300
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Fax | 773-723-3603
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038008720
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License Number State | IL
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