| Dura | |
|
8 S Michigan Ave Suite 2500 Chicago IL 60603-3357 | |
| (312) 283-3456 | |
| (312) 380-0153 |
| Full Name | Dura |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ndidi Onyejiaka (ORGANIZER) |
| Authorized Official Contact | 3122833456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dura 8 S Michigan Ave Suite 2500 Chicago IL 60603-3357 Ph: (312) 283-3456 | Dura 8 S Michigan Ave Suite 2500 Chicago IL 60603-3357 Ph: (312) 283-3456 |
| NPI Number | 1407215064 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 2961709563 |
|---|---|
| Medicare Enrollment ID | O20160325000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407215064 | NPI | - | NPPES |
| Provider Name | Ndidi A Onyejiaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619111432 PECOS PAC ID: 4789801408 Enrollment ID: I20140804001343 |
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