Provider Demographics
NPI:1821207663
Name:OHAJUNWA, UCHENNA GENEVIEVE (MS, RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:UCHENNA
Middle Name:GENEVIEVE
Last Name:OHAJUNWA
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 W HEIDEN CIR
Mailing Address - Street 2:UNIT 2302
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1060
Mailing Address - Country:US
Mailing Address - Phone:847-482-0036
Mailing Address - Fax:
Practice Address - Street 1:EVANSTON NORTHWESTERN HEALTHCARE
Practice Address - Street 2:2650 RIDGE AVENUE
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-570-2016
Practice Address - Fax:847-733-5712
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered