Provider Demographics
NPI:1285438259
Name:ODUNUKWE, CHINEDUM EJIKEME UZOCHUWU (MD)
Entity type:Individual
Prefix:MR
First Name:CHINEDUM
Middle Name:EJIKEME UZOCHUWU
Last Name:ODUNUKWE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SAINT ELIZABETH'S BLVD.
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:O'FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269
Mailing Address - Country:US
Mailing Address - Phone:618-233-7880
Mailing Address - Fax:
Practice Address - Street 1:3 SAINT ELIZABETH'S BLVD.
Practice Address - Street 2:SUITE 4000
Practice Address - City:O'FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269
Practice Address - Country:US
Practice Address - Phone:618-233-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program