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NPI Code Detail

MEDICARE: PRINCEWILL ONWENU

MEDICARE: PRINCEWILL ONWENU
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
1122300000XDentist019036266IL

General Provider Information

NPI Number : 1265324677
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRINCEWILL ONWENU
Provider Business Mailing Address
First Line : 641 W WAYMAN ST UNIT D
Second Line :
City : CHICAGO
State : IL
Zip : 60661-1021
Country : US
Telephone Number : 248-732-9904
Fax Number :
Provider Business Practice Location Address
First Line : 2511 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3883
Country : US
Telephone Number : 773-772-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2025
Last Update Date : 07/18/2025

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Directions to “ PRINCEWILL ONWENU ” Practice Location

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