Provider Demographics
NPI:1215303847
Name:NZEWI, CHUKWUEMEKA (MD)
Entity type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:
Last Name:NZEWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EMEKA
Other - Middle Name:
Other - Last Name:NZEWI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACP
Mailing Address - Street 1:2701 17TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-5351
Mailing Address - Country:US
Mailing Address - Phone:309-779-3106
Mailing Address - Fax:309-779-3106
Practice Address - Street 1:2701 17TH ST
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-5351
Practice Address - Country:US
Practice Address - Phone:309-779-3106
Practice Address - Fax:309-779-3106
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD44683207R00000X
IL036156379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine