Umoru, Benedicta

Umoru, Benedicta is an sole proprietor health care provider with primary practice located at 5032 N Illinois St Ste B, Fairview Heights IL 62208-3415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Umoru, Benedicta can be contacted via phone (618) 416-9005.

Contact Information

Primary practice address
5032 N Illinois St Ste B Fairview Heights IL 62208-3415
Phone: (618) 416-9005
Fax: (618) 641-9452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036100162 Illinois

Profile Details

NPI number 1003836446
LBN Legal business name Umoru, Benedicta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated May 13th, 2016 - about 8 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 1003836446 NPPES
Illinois MEDICAID 036100162
Illinois Other P00248272
Illinois Other 08232145

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