Provider Demographics
NPI:1063259869
Name:NNAM, OBIORA
Entity type:Individual
Prefix:
First Name:OBIORA
Middle Name:
Last Name:NNAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 YORKSHIRE WOODS
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1474
Mailing Address - Country:US
Mailing Address - Phone:630-418-1316
Mailing Address - Fax:
Practice Address - Street 1:2 YORKSHIRE WOODS
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1474
Practice Address - Country:US
Practice Address - Phone:630-418-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist