Provider Demographics
NPI:1760669469
Name:ALIKPALA, CHARITY URSUA (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:URSUA
Last Name:ALIKPALA
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:245 S GARY AVE
Mailing Address - Street 2:SUITE LL
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2228
Mailing Address - Country:US
Mailing Address - Phone:630-893-5230
Mailing Address - Fax:630-893-5837
Practice Address - Street 1:245 S GARY AVE
Practice Address - Street 2:SUITE LL
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2228
Practice Address - Country:US
Practice Address - Phone:630-893-5230
Practice Address - Fax:630-893-5837
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036119340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine