Provider Demographics
NPI:1760638878
Name:OKOCHI, CHIMEZIE UZODIMMA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIMEZIE
Middle Name:UZODIMMA
Last Name:OKOCHI
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 1:16134 HILLCREST CIR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5565
Mailing Address - Country:US
Mailing Address - Phone:312-218-4048
Mailing Address - Fax:
Practice Address - Street 1:16134 HILLCREST CIR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5565
Practice Address - Country:US
Practice Address - Phone:312-218-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-09
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036121422207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine