Achufusi, Ted George Ody

Achufusi, Ted George Ody is an individual health care provider with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Achufusi, Ted George Ody can be contacted via phone (708) 596-5177.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Phone: (708) 596-5177
Fax: (708) 596-5518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004055B Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004055A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036129835 Illinois

Profile Details

NPI number 1033353792
LBN Legal business name Achufusi, Ted George Ody
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2009
Last updated Jul 18th, 2024 - about 2 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 1033353792 NPPES
Kansas MEDICAID 201115610
Kansas MEDICAID 036129835
Kansas Other 151020027

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