Provider Demographics
NPI:1609493147
Name:NCHANJI, COMFORT LUMYEDANG (MD)
Entity Type:Individual
Prefix:MISS
First Name:COMFORT
Middle Name:LUMYEDANG
Last Name:NCHANJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 S EAST END AVE APT 803S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-0041
Mailing Address - Country:US
Mailing Address - Phone:651-500-4281
Mailing Address - Fax:
Practice Address - Street 1:779 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-3509
Practice Address - Country:US
Practice Address - Phone:651-500-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036165756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine