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Bryan Anochili Ikeudenta, MD
Family Medicine Physician in Loves Park, Illinois
NPI 1881270627

Bryan Anochili Ikeudenta is a Family Medicine Physician based in Loves Park, IL. Bryan Anochili Ikeudenta practices in Loves Park, IL and has the professional credentials of MD. The NPI Number for Bryan Anochili Ikeudenta is 1881270627 and holds a License No. (Illinois).

The current practice location address for Bryan Anochili Ikeudenta is 7702 N Alpine Rd, Loves Park, IL and can be reached out via phone at 815-971-3397 and via fax at 815-971-9795.

Location: 7702 N Alpine Rd, Loves Park, IL, 61111-3107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881270627
Provider Name
Bryan Anochili Ikeudenta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7702 N Alpine Rd, Loves Park, IL, 61111-3107
Phone Number
815-971-3397
Fax Number
815-971-9795
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7702 N Alpine Rd
City
Loves Park
State
Illinois
Zip
61111-3107
Phone Number
815-971-3397
Fax Number
815-971-9795
person
Provider Business Mailing Address Details
Address
7702 N Alpine Rd
City
Loves Park
State
Illinois
Zip
61111-3107
Phone Number
815-971-3397
Fax Number
815-971-9795
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125078130 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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