JAMES BOB ACHEBE (NPI# 1881793552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881793552 |
| Entity Type | Individual |
| Full Name | JAMES BOB ACHEBE |
| Credential | MD |
| Practice Address |
10810 S Halsted St Chicago IL 60628-3126 |
| Practice Telephone | 7737859000 |
| Practice Fax Number | 7737859191 |
| Mailing Telephone | 7737859000 |
| Mailing Fax Number | 7737859191 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
036-054592 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/SHIELD | 21606987 | 01 |
| IL | RAIL ROAD MEDICARE | 793013234 | 01 |
| IL | 036 054592 | 05 |
| Street Address |
10810 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376662544 | J. Bob Achebe Md Sc | Family Medicine | 10810 S Halsted St, Chicago, IL 60628-3126 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
| 1730444639 | Iqbal S Husain | Family Medicine | 6936 N Chicora Ave, Chicago, IL 60646-1508 | 2012-07-07 |
| 1033480413 | Healthworks Integrative Medical Clinic | Family Medicine | 1165 N Clark St Ste 608, Chicago, IL 60610-7848 | 2012-01-18 |
| 1518123843 | Nastane Le Bec | Family Medicine | 6225 S Kenwood Ave Apt 1s, Chicago, IL 60637-3766 | 2008-08-06 |
| 1639372410 | Albert R Rosanova Jr Ltd | Family Medicine | 5510 W Montrose Ave, Chicago, IL 60641-1330 | 2007-06-07 |
| 1386860997 | Mariya Dmytriv-kapeniak | Family Medicine | 2540 W Chicago Ave, Chicago, IL 60622-5019 | 2007-04-18 |
| 1255462578 | Roberto Diaz | Family Medicine | 1805 S Ashland Ave, Chicago, IL 60608-2805 | 2007-03-08 |
| 1386784346 | Carroll Edward Smith | Family Medicine | 4215 S King Dr, Chicago, IL 60653-2663 | 2007-02-07 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.