Achebe, James Bob

Achebe, James Bob is an individual health care provider with primary practice located at 10810 S Halsted St , Chicago IL 60628-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Achebe, James Bob can be contacted via phone (773) 785-9000.

Contact Information

Primary practice address
10810 S Halsted St Chicago IL 60628-3126
Phone: (773) 785-9000
Fax: (773) 785-9191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 036-054592 Illinois

Profile Details

NPI number 1881793552
LBN Legal business name Achebe, James Bob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 4th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881793552 NPPES
Illinois Other 21606987 BLUE CROSS/SHIELD
Illinois Other 793013234 BLUE CROSS/SHIELD
Illinois MEDICAID 036 054592 BLUE CROSS/SHIELD

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