Richard & Susan Egwele Mdsc

NPI #1174659734 in Chicago, Illinois

Provider Information

NPI Number: 1174659734
Entity Type: Organization
Organization Name: Richard & Susan Egwele Mdsc
Primary Specialty: Point of Service
Enumeration Date: Feb 26, 2007
Last Updated: Sep 22, 2010

Practice Location

Address: 9135 S EXCHANGE AVE
City: Chicago
State: Illinois
ZIP Code: 60617-4225
Phone: (773) 374-2441

Authorized Official

Name: SUSAN OYETUNDE
Title: MANAGER
Phone: (773) 371-2443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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