Eugene Chukudebelu MD SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

EUGENE CHUKUDEBELU MD SC

Practice address

326 W 64TH St
Suite 318
Chicago, IL 60621-3114

Phone

(773) 723-9500

Fax

(773) 224-4403

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Chukudebelu, M.D.

Title

President

Phone

(773) 723-9500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1104005966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 S SAINT LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195009",
            "telephone_number": "773-723-9500",
            "fax_number": "773-224-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "address_2": "SUITE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-723-9500",
            "fax_number": "773-224-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE CHUKUDEBELU MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CHUKUDEBELU",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-723-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "21607396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Etshokin
• Matthew Ettleson, MD
• Yasmeen Annie Ettrick, PHARMD
• Sarah Leah Etzman, M.S. CCC-SLP
• Tashika Eubankst
• Eugene Merbaum DDS PC
• Eugene P Mele II Psy D PC
• Eugene Pergament M.D.,P.C.
• Erica K Eugene, LCSW
• Stephanie A Eugene, M.D.

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.