NPI 1003470295
Chizitam Ibezim, MD
Practice location
- Address
- 1611 W Harrison St STE 400, Chicago, IL 60612-4861
- Phone
- (877) 632-6637
- Fax
- (708) 409-5179
- Mailing address
- PO Box 735263, Chicago, IL 60673-5263
Registered specialties (4)
Adult Reconstructive Orthopaedic Surgery Physician
Primary
Orthopaedic Surgery Physician
Orthopaedic Surgery Physician
Adult Reconstructive Orthopaedic Surgery Physician
Registry record
- NPI
- 1003470295
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2019
- Record last updated
- 9 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.