KIMBERLY IDOKO — Medicare Enrolled Provider (PRACTITIONER - NEUROLOGY, IL)
KIMBERLY IDOKO — Medicare Enrolled Provider (PRACTITIONER - NEUROLOGY, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KIMBERLY IDOKO; Type: Individual; NPI: 1003080896.
| Name | KIMBERLY IDOKO |
|---|---|
| Type | Individual |
| NPI | 1003080896 |
| Provider type | PRACTITIONER - NEUROLOGY |
| State | IL |
| Enrollment ID | I20210927001854 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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