Provider Demographics
NPI:1841533908
Name:KANU, LOVELLA DURU (MD)
Entity type:Individual
Prefix:DR
First Name:LOVELLA
Middle Name:DURU
Last Name:KANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOVELLA CHIKWADO
Other - Middle Name:L
Other - Last Name:DURU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9555 S 52ND AVE STE F
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-3054
Mailing Address - Country:US
Mailing Address - Phone:708-422-5700
Mailing Address - Fax:708-422-8225
Practice Address - Street 1:9555 S 52ND AVE STE F
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-3054
Practice Address - Country:US
Practice Address - Phone:708-422-5700
Practice Address - Fax:708-422-8225
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036141027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine