Egwele, Richard A

Egwele, Richard A is an individual health care provider with primary practice located at 9135 S Exchange Ave , Chicago IL 60617-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Egwele, Richard A can be contacted via phone (773) 374-2441.

Contact Information

Primary practice address
9135 S Exchange Ave Chicago IL 60617-4225
Fax: (773) 374-7652
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 207Q00000X Illinois

Profile Details

NPI number 1306991310
LBN Legal business name Egwele, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 8th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306991310 NPPES
Illinois Other 21607598 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036051741 BLUE CROSS BLUE SHIELD

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