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NPI Code Detail

MEDICARE: OKECHI ODOKA APRN, CNP

MEDICARE:   OKECHI  ODOKA  APRN, CNP
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
1363L00000XNurse Practitioner277001033IL
2363LF0000XFamily Nurse Practitioner209.010073IL

General Provider Information

NPI Number : 1174860498
Entity Type Code : Individual
Provider Name (Legal Business Name) : OKECHI ODOKA APRN, CNP
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 2030
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2830
Country : US
Telephone Number : 312-926-6831
Fax Number : 312-926-2200
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 2030
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2830
Country : US
Telephone Number : 312-926-6831
Fax Number : 312-926-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2013
Last Update Date : 02/01/2023

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Directions to “ OKECHI ODOKA APRN, CNP” Practice Location

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