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Chike
Ilorah
MD
Contract Details
Brookwood Medical Center
Facility name
Provider ID
P000000001
NPI
1619382355
Tax ID
474757851
Effective Date
1/1/2024
Last Updated
12/18/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_528
Exhibit Attachment
Location Details
Address
2010 Brookwood Medical Center Drive
Birmingham, AL 35209
United States
Phone
205-877-1000
(
Phone
)
Billing Details
Address
2010 Brookwood Medical Center Drive
Birmingham, AL 35209
Billing Phone
205-877-1000
Specialty Type
Neurology
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Address