Chukudebelu, Eugene
Chukudebelu, Eugene is an sole proprietor health care provider with primary practice located at 326 W 64Th St Suite 318, Chicago IL 60621-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chukudebelu, Eugene can be contacted via phone (773) 723-9500.Contact Information
Primary practice address
326 W 64Th St Suite 318
Chicago IL 60621-3114
Phone: (773) 723-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | Illinois |
Profile Details
| NPI number | 1407954886 |
|---|---|
| LBN Legal business name | Chukudebelu, Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 5th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407954886 | NPPES |
| Illinois | Other | K26327 | MEDICARE MEMBER # |
| Illinois | Other | 21607396 | MEDICARE MEMBER # |
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