| J. Bob Achebe Md Sc | |
|
10810 S Halsted St Chicago IL 60628-3126 | |
| (773) 785-9000 | |
| Not Available |
| Full Name | J. Bob Achebe Md Sc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 10810 S Halsted St, Chicago, Illinois |
| Authorized Official Name and Position | James Bob Achebe (OWNER) |
| Authorized Official Contact | 7733335782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Bob Achebe Md Sc 10810 S Halsted St Chicago IL 60628-3126 Ph: (773) 785-9000 | J. Bob Achebe Md Sc 10810 S Halsted St Chicago IL 60628-3126 Ph: (773) 785-9000 |
| NPI Number | 1376662544 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376662544 | NPI | - | NPPES |
| 036054592 | Medicaid | IL | |
| 21606987 | Other | IL | BCBSIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 036054592 (Illinois) | Primary |
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