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NPI Code Detail

MEDICARE: CHRISTINE NWAEZEAPU NP

MEDICARE:   CHRISTINE  NWAEZEAPU  NP
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 Practitioner209035011IL
2163W00000XRegistered Nurse041476075IL
3163W00000XRegistered Nurse28255521AIN

General Provider Information

NPI Number : 1699593319
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE NWAEZEAPU NP
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2320 E 93RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-3909
Country : US
Telephone Number : 773-967-5436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 05/10/2026

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Directions to “ CHRISTINE NWAEZEAPU NP” Practice Location

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