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Russell Edafetanure-Ibeh
NPI 1568291268 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1853 W Polk St
Chicago, IL 60612 - Phone
- (312) 996-5636
- Clinicians at this address
- 51
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2024-07-31
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