| Doctor Name: | DR. CHINENYE CHIOMA ANAKO |
| NPI Number: | 1922449172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., |
| License Number: | 125064211 |
| Business Practice Address: | 611 W Glen Ave Apt B Peoria, IL - 616144874 |
| Business Phone Number: | 6024812040 |
| Business Fax Number: | |
| Mailing Address: | 611 N. Glen Ave Unit B, PEORIA |
| State: | IL |
| Postal Code: | 61614 |
| Phone Number: | 6024812040 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 125064211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |