Eneogwe, Grace Ngozi

Eneogwe, Grace Ngozi is an individual health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eneogwe, Grace Ngozi can be contacted via phone (312) 864-6000.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209007655 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007655 Illinois

Profile Details

NPI number 1467684332
LBN Legal business name Eneogwe, Grace Ngozi
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2009
Last updated Mar 7th, 2024 - about 9 months 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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