Ekechukwu, Kenneth U

Ekechukwu, Kenneth U is an sole proprietor health care provider with primary practice located at 1225 Harlem Ave , Forest Park IL 60130-2407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Ekechukwu, Kenneth U can be contacted via phone (708) 657-4540.

Contact Information

Primary practice address
1225 Harlem Ave Forest Park IL 60130-2407
Phone: (708) 657-4540
Fax: (708) 657-4535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-083256 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-083256 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036-083256 Illinois

Profile Details

NPI number 1255331096
LBN Legal business name Ekechukwu, Kenneth U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

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 1255331096 NPPES
Illinois MEDICAID 036-083256-4

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