Mr Ukpenahiusi S Ighodaro, PT - Physical Medicine & Rehabilitation in Carpentersville, IL

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Mr Ukpenahiusi S Ighodaro, PT is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Carpentersville, Illinois. Mr Ukpenahiusi S Ighodaro is licensed to practice in Illinois (license number 070.009441) and his current practice location is 231 W Main St Ste 101, Carpentersville, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 428-1515.

NPI number for Mr Ukpenahiusi S Ighodaro is 1639356488 and his current mailing address is 2040 Ogden Ave 313, Aurora, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639356488.

Contact Information

Mr Ukpenahiusi S Ighodaro, PT
231 W Main St Ste 101,
Carpentersville, IL 60110-1772
(847) 428-1515
(847) 428-0024

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Physician's Profile

Full NameMr Ukpenahiusi S Ighodaro
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location231 W Main St Ste 101, Carpentersville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639356488
  • Provider Enumeration Date: 01/23/2008
  • Last Update Date: 10/23/2015

Medical Identifiers

Medical identifiers for Mr Ukpenahiusi S Ighodaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639356488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 070.009441 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ukpenahiusi S Ighodaro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ukpenahiusi S Ighodaro, PT
2040 Ogden Ave 313,
Aurora, IL 60504-7205

Ph: (630) 692-5208		Mr Ukpenahiusi S Ighodaro, PT
231 W Main St Ste 101,
Carpentersville, IL 60110-1772

Ph: (847) 428-1515

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Physical Medicine & Rehabilitation Doctors in Carpentersville, IL


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