Raphael Ijeokwu
Raphael Ijeokwu is a Student in an Organized Health Care Education/Training Program in Thornton, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
541 N Williams St Fl 1Thornton, IL 60476-1018
Phone: (312) 975-5928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (IL) |
|---|
Record details
| NPI number | 1902429467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 19, 2020 |
| Last updated in NPPES | May 19, 2020 |
| Certification date | May 19, 2020 |
| Mailing address | 2107 E 72nd Pl Apt 1, Chicago, IL 60649-6080 |