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NPI Code Detail

MEDICARE: WINNIE UZEBU

MEDICARE: WINNIE UZEBU
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
1207Q00000XFamily Medicine Physician125.084828IL

General Provider Information

NPI Number : 1336984442
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINNIE UZEBU
Provider Business Mailing Address
First Line : 7531 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-3993
Country : US
Telephone Number : 773-947-7310
Fax Number :
Provider Business Practice Location Address
First Line : 7531 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-3993
Country : US
Telephone Number : 773-947-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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Directions to “ WINNIE UZEBU ” Practice Location

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