Provider Demographics
NPI:1225238504
Name:NWAKUDU, OBIDIKE AUGUSTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:OBIDIKE
Middle Name:AUGUSTINE
Last Name:NWAKUDU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3335
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522
Mailing Address - Country:US
Mailing Address - Phone:630-447-9359
Mailing Address - Fax:
Practice Address - Street 1:LIFEFLOW HEALTH
Practice Address - Street 2:1415 W 22ND ST, TOWER FLOOR
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-447-9359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA37268207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine