NPI 1003449612
Eoht LLC
Practice location
- Address
- 1718 W North Shore Ave APT 11, Chicago, IL 60626-4030
- Phone
- (773) 997-8757
Authorised official
- Name
- Oluseun Osinowo
- Title
- Member
- Phone
- (773) 997-8757
Registered specialties (3)
Family Medicine Physician
Primary
Internal Medicine Physician
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1003449612
- Entity type
- Organization
- NPI issued
- 21 Feb 2020
- Record last updated
- 26 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.