IndividualActive
Elijah Ezeofor
NPI 1063722049 · Public Health & General Preventive Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1063722049
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- HDE1158 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2133 W Lexington St
2nd Floor Chicago Dept. of Public Helath
Chicago, IL 60612-3707
Phone: (312) 746-4664
Fax: (312) 746-6526
Approximate (ZIP-level) locationGet directions
Mailing address
2133 West Lexington Street
Chicago, IL 60612
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.