NPI 1174659734

Richard & Susan Egwele Mdsc

Organisation Point of Service Chicago, IL

Practice location

Address: 9135 S Exchange Ave, Chicago, IL 60617-4225
Phone: (773) 374-2441
Fax: (773) 374-7652

Authorised official

Name: Susan Oyetunde
Title: Manager
Phone: (773) 371-2443

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 36-2093081 (IL)

Other Point of Service providers in Illinois →

Registry record

NPI: 1174659734
Entity type: Organization
NPI issued: 26 Feb 2007
Record last updated: 22 Sep 2010

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.