Ikerodah, Glory Obianuju

Ikerodah, Glory Obianuju is an individual health care provider with primary practice located at 1777 E Court St , Kankakee IL 60901-2670. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ikerodah, Glory Obianuju can be contacted via phone (773) 676-4076.

Contact Information

Primary practice address
1777 E Court St Kankakee IL 60901-2670
Phone: (773) 676-4076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209018155 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277.002987 Illinois

Profile Details

NPI number 1932675006
LBN Legal business name Ikerodah, Glory Obianuju
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2018
Last updated Mar 13th, 2024 - about 2 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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