Anoka, Ifeanyichukwu Alex

Anoka, Ifeanyichukwu Alex is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anoka, Ifeanyichukwu Alex can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901
Phone: (618) 549-0721
Fax: (618) 529-0469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036149293 Illinois

Profile Details

NPI number 1639522998
LBN Legal business name Anoka, Ifeanyichukwu Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Aug 16th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639522998 NPPES
Illinois Other 218441 MULTI-SPECIALTY GROUP PTAN
Illinois MEDICAID 100230306 MULTI-SPECIALTY GROUP PTAN

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