Ezenwa, Ekene

Ezenwa, Ekene is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5067 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Ezenwa, Ekene can be contacted via phone (773) 702-1611.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc5067 Chicago IL 60637-1443
Phone: (773) 702-1611
Fax: (773) 834-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 125.077293 Illinois

Profile Details

NPI number 1689293672
LBN Legal business name Ezenwa, Ekene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated Jul 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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