| Uzoma Okoli Md | |
|
30 Tower Ct Ste C Gurnee IL 60031-3322 | |
| (847) 672-6478 | |
| Not Available |
| Full Name | Uzoma Okoli Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Tower Ct Ste C, Gurnee, Illinois |
| Authorized Official Name and Position | Uzoma Okoli (OWNER) |
| Authorized Official Contact | 8476726478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uzoma Okoli Md Po Box 6119 Vernon Hills IL 60061-6119 Ph: (847) 672-6478 | Uzoma Okoli Md 30 Tower Ct Ste C Gurnee IL 60031-3322 Ph: (847) 672-6478 |
| NPI Number | 1366768772 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 3870625882 |
|---|---|
| Medicare Enrollment ID | O20100709000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366768772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Uzoma C Okoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538168620 PECOS PAC ID: 5799737912 Enrollment ID: I20050216000433 |
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