Provider Demographics
NPI:1063162436
Name:ILOCHONWU, ADORA (MD)
Entity type:Individual
Prefix:
First Name:ADORA
Middle Name:
Last Name:ILOCHONWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10605 CONCORD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2526
Mailing Address - Country:US
Mailing Address - Phone:301-949-4242
Mailing Address - Fax:301-949-8041
Practice Address - Street 1:10605 CONCORD ST STE 205
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2526
Practice Address - Country:US
Practice Address - Phone:301-949-4242
Practice Address - Fax:301-449-8041
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125080887207Q00000X
MDD0104607207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine