Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. UKPENAHIUSI S IGHODARO, P.T.
ActiveMR. UKPENAHIUSI S IGHODARO, P.T. is a Sports Medicine (PM&R) healthcare provider located in CARPENTERSVILLE, Illinois. NPI 1639356488 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · CARPENTERSVILLE, IL
Registration Details
- NPI Number
- 1639356488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2008 (18.596610687931 yrs)
- Last Updated
- Oct 23, 2015
- License
-
070.009441 (IL)
Practice Information
- Address
-
231 W MAIN ST STE 101CARPENTERSVILLE, IL, 601101772Browse IL providers · Browse ZIP 60110
- Phone
- 8474281515
- Fax
- 8474280024
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.