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NPI Code Detail

MEDICARE: DR. KAMANA ESTHER MBEKEANI M.D

MEDICARE: DR. KAMANA ESTHER MBEKEANI M.D
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
12086S0102XSurgical Critical Care PhysicianIL

General Provider Information

NPI Number : 1912981374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMANA ESTHER MBEKEANI M.D
Provider Business Mailing Address
First Line : 1230 N KENILWORTH AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302-1237
Country : US
Telephone Number : 708-383-9017
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line : DIVISION OF SURGICAL CRITICAL CARE
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-5268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/08/2007

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