Lifeflow Llc | |
1415 W 22nd Street Tower Floor Oak Brook IL 60523-6052 | |
(630) 447-9359 | |
Not Available |
Full Name | Lifeflow Llc |
---|---|
Speciality | Family Medicine |
Location | 1415 W 22nd Street, Oak Brook, Illinois |
Authorized Official Name and Position | Obidike Augustine Nwakudu (PRESIDENT) |
Authorized Official Contact | 6307010998 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lifeflow Llc Po Box 3335 Oak Brook IL 60522-3335 Ph: (630) 701-0998 | Lifeflow Llc 1415 W 22nd Street Tower Floor Oak Brook IL 60523-6052 Ph: (630) 447-9359 |
NPI Number | 1467129734 |
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Provider Enumeration Date | 08/25/2021 |
Last Update Date | 08/25/2021 |
Medicare PECOS PAC ID | 1153711262 |
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Medicare Enrollment ID | O20211203002414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467129734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Obidike Nwakudu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225238504 PECOS PAC ID: 8325128499 Enrollment ID: I20071231000568 |
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