Search › Illinois › 1041C0700X
Obrain Agwanihu
NPI 1841997889 · on the registry since 2023 · sole proprietor
Practice
- Address
- 622 Davis St Ste 200
Evanston, IL 60201 - Phone
- (773) 294-0176
- Organisation at this address
- Tracy Nieman Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Additional practice sites
- 105 Pearsall Ave, Freeport, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-08
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