Eoht LLC

NPI #1003449612 in Chicago, Illinois

Provider Information

NPI Number: 1003449612
Entity Type: Organization
Organization Name: Eoht LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 21, 2020
Last Updated: Jul 26, 2021

Practice Location

Address: 1718 W NORTH SHORE AVE APT 11
City: Chicago
State: Illinois
ZIP Code: 60626-4030
Phone: (773) 997-8757

Authorized Official

Name: OLUSEUN OSINOWO
Title: MEMBER
Phone: (773) 997-8757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Family Medicine	207Q00000X	Primary

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