Oyetunde, Susan T

Oyetunde, Susan T is an individual health care provider with primary practice located at 9135 S Exchange Ave , Chicago IL 60617-4225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oyetunde, Susan T can be contacted via phone (773) 374-2441.

Contact Information

Primary practice address
9135 S Exchange Ave Chicago IL 60617-4225
Phone: (773) 374-2441
Fax: (773) 374-7652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207Q00000X Illinois

Profile Details

NPI number 1699829747
LBN Legal business name Oyetunde, Susan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 12th, 2011 - about 15 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 1699829747 NPPES
Illinois MEDICAID 036051741
Illinois Other 216-06654

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