| Kenechukwu Stanley Ezike, | |
|
6600 Willow Springs Rd, La Grange Highlands, IL 60525-4593 | |
| (708) 588-1253 | |
| Not Available |
| Full Name | Kenechukwu Stanley Ezike |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 6600 Willow Springs Rd, La Grange Highlands, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649871344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051.303090 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenechukwu Stanley Ezike, 814 Hillberry Ct, La Grange, IL 60525-2647 Ph: (708) 539-7479 | Kenechukwu Stanley Ezike, 6600 Willow Springs Rd, La Grange Highlands, IL 60525-4593 Ph: (708) 588-1253 |
Mrs. Jyotika C Amin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6600 Willow Springs Rd, La Grange Highlands, IL 60525 Phone: 708-588-1253 | |
Mr. John A Rennau, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6600 Willow Springs Rd, La Grange Highlands, IL 60525 Phone: 708-588-1253 Fax: 708-588-1309 |