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Search › Illinois › 2085R0204X

Kenneth Ekechukwu, M.D

NPI 1255331096 · on the registry since 2005 · sole proprietor

Practice

Address
1225 Harlem Ave
Forest Park, IL 60130
Phone
(708) 657-4540
Fax
(708) 657-4535
Organisation at this address
Medrad Clinics, Sc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1740 W Taylor St, Chicago, IL

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
2085R0202X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois