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1639356488
UKPENAHIUSI S IGHODARO
CARPENTERSVILLE, IL
NPI
1639356488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: IL 070.009441)
Enumeration Date
2008-01-23
Last Update Date
2015-10-23
Business Address
Mr. UKPENAHIUSI S IGHODARO P.T.
231 W MAIN ST STE 101
CARPENTERSVILLE, IL 60110-1772
Phone number: 847-428-1515
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Mailing Address
Mr. UKPENAHIUSI S IGHODARO P.T.
2040 OGDEN AVE 313
AURORA, IL 60504-7205
Phone number: 630-692-5208
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