Individual provider · NPI-1

Udochukwu O Asonye, M.D.

Pediatrics · Berwyn, IL

NPI number1114964673
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1114964673
Entity type
Individual (NPI-1)
Name
Udochukwu O Asonye
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2006
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics036052108ILYes
208M00000X Hospitalist036052108IL

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-2226

Mailing address

900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213

Phone 630-954-6700 · Fax 630-954-1555

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