Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AFOMA PHOEBE EZIDINMA, MD
ActiveDR. AFOMA PHOEBE EZIDINMA, MD is a Cardiovascular Disease healthcare provider located in ROSCOE, Illinois. NPI 1932412509 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · ROSCOE, IL
Registration Details
- NPI Number
- 1932412509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2010 (16.090592774121 yrs)
- Last Updated
- Jun 13, 2024
- Licenses
-
036122956 (IL)036-122956 (IL)036122956 (IL)56346-20 (WI)
Practice Information
- Address
-
5605 E ROCKTON RDNORTHPOINTE CLINICROSCOE, IL, 610737601Browse IL providers · Browse ZIP 61073
- Phone
- 8155254500
- Fax
- 8155254505
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospitalist
- Additional Specialty
- Cardiovascular Disease
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.