Individual provider · NPI-1
Chinyere I Odeluga, MD
Family Medicine · East Chicago, IN
NPI number1316002181
StatusActive
Last updated in NPPESMar 21, 2013
Details
- NPI
- 1316002181
- Entity type
- Individual (NPI-1)
- Name
- Chinyere I Odeluga
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2006
- Last updated
- Mar 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01045992 | IN | Yes |
| 163W00000X | Registered Nurse | 041278213 | IL | |
| 207Q00000X | Family Medicine | 036092321 | IL | |
| 208D00000X | General Practice | 01045992 | IN | |
| 208D00000X | General Practice | 036092321 | IL |
Other names
- Chinyere I Obinwa (Former Name)
Practice location
915 West Chicago AvenueEast Chicago, IN 46312
Phone 219-397-6000 · Fax 219-397-6358
Mailing address
915 W Chicago AveEast Chicago, IN 46312-3308
Phone 219-397-6000 · Fax 219-397-6358
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