Ezeofor, Elijah

Ezeofor, Elijah is an sole proprietor health care provider with primary practice located at 2133 W Lexington St 2Nd Floor Chicago Dept. Of Public Helath, Chicago IL 60612-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Ezeofor, Elijah can be contacted via phone (312) 746-4664.

Contact Information

Primary practice address
2133 W Lexington St 2Nd Floor Chicago Dept. Of Public Helath Chicago IL 60612-3707
Phone: (312) 746-4664
Fax: (312) 746-6526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X HDE1158 Illinois

Profile Details

NPI number 1063722049
LBN Legal business name Ezeofor, Elijah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2010
Last updated Oct 14th, 2010 - about 14 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 1063722049 NPPES
Illinois Other HDE1158 RISK ASSESSOR

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