Individual ProviderUju IlechukwuCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 989-9499(857) 234-1609PECOS EnrollmentBased on the most recent information from CMS, provider Uju Ilechukwu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013554252Provider TypeIndividualFull NameIlechukwu, UjuGenderFemaleSole ProprietorNoEnumeration Date12/6/2019Last Updated12/6/2019Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 989-9499FaxUnlisted FaxMailing LocationMailing Address71 Farrar Ave, Hyde Park, MA 02136-3222Phone(857) 234-1609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer