Okoli, Uzoma

Okoli, Uzoma is an sole proprietor health care provider with primary practice located at 200 S Greenleaf St Suite J, Gurnee IL 60031-3398. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Okoli, Uzoma can be contacted via phone (847) 672-6478.

Contact Information

Primary practice address
200 S Greenleaf St Suite J Gurnee IL 60031-3398
Phone: (847) 672-6478
Fax: (847) 672-7432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 036109992 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-109992 Illinois

Profile Details

NPI number 1538168620
LBN Legal business name Okoli, Uzoma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated May 10th, 2021 - about 4 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 1538168620 NPPES
Illinois Other 1366768772 HAWTHORN BEHAVIORAL HEALTH
Illinois Other 212793 HAWTHORN BEHAVIORAL HEALTH
Illinois MEDICAID 036109992 HAWTHORN BEHAVIORAL HEALTH

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