MICHEAL EZEANA

CHICAGO, IL
NPI1043911043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125.083611)
Enumeration Date2023-03-15
Last Update Date2024-09-10
Business Address
MICHEAL EZEANA
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637-1443
Phone number: 773-702-6760
Mailing Address
MICHEAL EZEANA
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150