Doctor Name: | IFEOMA AGUANUNU |
NPI Number: | 1003221276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 125.065522 |
Business Practice Address: | 2160 S 1st Ave Maywood, IL - 601533328 |
Business Phone Number: | 7082169000 |
Business Fax Number: | |
Mailing Address: | 8234 S Richmond St, CHICAGO |
State: | IL |
Postal Code: | 606523414 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 05/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 125.065522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |