Provider Demographics
NPI:1922319839
Name:ECHEAZU, CHINELO C (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINELO
Middle Name:C
Last Name:ECHEAZU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1750 E LAKE SHORE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521
Mailing Address - Country:US
Mailing Address - Phone:217-422-2500
Mailing Address - Fax:217-422-2521
Practice Address - Street 1:1750 E LAKE SHORE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521
Practice Address - Country:US
Practice Address - Phone:217-872-2400
Practice Address - Fax:217-422-2521
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.057602207V00000X
IL036135365207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology