SearchIllinois163WH0200X

Gabriel Ifejiasi

NPI 1962209759 · on the registry since 2025 · sole proprietor

Practice

Address
20067 Marlin Ct
Lynwood, IL 60411
Phone
(708) 308-1702
Organisation at this address
Orbit Health Care Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-27

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