Agbemaple, Theodore Lord

Agbemaple, Theodore Lord is an sole proprietor health care provider with primary practice located at 2900 N Lake Shore Dr , Chicago IL 60657-5640. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Agbemaple, Theodore Lord can be contacted via phone (773) 665-3000.

Contact Information

Primary practice address
2900 N Lake Shore Dr Chicago IL 60657-5640
Phone: (773) 665-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1255190690
LBN Legal business name Agbemaple, Theodore Lord
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2024
Last updated Mar 18th, 2024 - about last year

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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