FELICIA NWANKWO


Address: 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617
Phone: 7737217600

FELICIA NWANKWO (NPI# 1528543774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528543774
Entity Type Individual
Full Name FELICIA NWANKWO
Practice Address 2822 E 83rd Street Bradond Famiy Health Cener
Chicago
IL 60617
Mailing Address 2822 E. 83rd Street
Chicago
IL 60617
Practice Telephone 7737217600
Mailing Telephone 7737217600
Mailing Fax Number 7737217618
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.017835 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2822 E 83RD STREET BRADOND FAMIY HEALTH CENER
City CHICAGO
State IL
Zip Code 60617

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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