Northwest Medical Associates of Chicago LLC

NPI #1932218708 in Chicago, Illinois

Provider Information

NPI Number: 1932218708
Entity Type: Organization
Organization Name: Northwest Medical Associates of Chicago LLC
Primary Specialty: Specialist
Enumeration Date: Aug 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2875 W 19TH ST
City: Chicago
State: Illinois
ZIP Code: 60623-3501
Phone: (773) 262-4588

Authorized Official

Name: MR. OGBONNAYA ANEZIOKORO, MD
Title: PRESIDENT/CEO
Phone: (773) 262-4588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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