Ropheka Medical Service LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROPHEKA MEDICAL SERVICE LTD

Practice address

551 W 103Rd St
1St Floor East Wing
Chicago, IL 60628-2403

Phone

(773) 779-9890

Fax

(773) 779-9830

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Taiwo Olatunbosun, MD

Title

President

Phone

(708) 214-5300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003994955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601300745",
            "telephone_number": "708-214-5300",
            "fax_number": "773-913-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W 103RD ST",
            "address_2": "1ST FLOOR EAST WING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282403",
            "telephone_number": "773-779-9890",
            "fax_number": "773-779-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPHEKA MEDICAL SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLATUNBOSUN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "TAIWO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-214-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.