Dr. Edwin E. Ekong, D.O.
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1043376569
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043376569
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edwin E. Ekong
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036062189 | IL | Yes |
Practice location
10830 S Halsted StChicago, IL 60628-3126
Phone 773-264-1400 · Fax 773-264-1401
Mailing address
10830 S Halsted StChicago, IL 60628-3126
Phone 773-264-1400 · Fax 773-264-1401
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