MEDICARE: ANNE & TOCHUKWU ONYEKWULUJE MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036093890	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073754586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE & TOCHUKWU ONYEKWULUJE MD PC

Provider Business Mailing Address
First Line	:	PO BOX 5111
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60522-5111
Country	:	US
Telephone Number	:	630-728-2487
Fax Number	:

Provider Business Practice Location Address
First Line	:	3724 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3820
Country	:	US
Telephone Number	:	773-486-3300
Fax Number	:	773-252-0866

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANNE N ONYEKWULUJE
Credential	:	MD
Telephone Number	:	630-728-2487

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	06/20/2011

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