Richard & Susan Egwele MDSC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

36-2093081 Issued in IL

Legal business name

RICHARD & SUSAN EGWELE MDSC

Practice address

9135 S Exchange Ave
Chicago, IL 60617-4225

Phone

(773) 374-2441

Fax

(773) 374-7652

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Susan OyetundeNPI 1699829747

Title

Manager

Phone

(773) 371-2443

Specialties & licenses 1

Addresses

Other names 1

• Exchange Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan T Oyetunde, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1699829747
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1174659734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-374-2441",
            "fax_number": "773-374-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-374-2441",
            "fax_number": "773-374-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD & SUSAN EGWELE MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "OYETUNDE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-371-2443"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "36-2093081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exchange Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth C. Rich
• Natasha Rich, MD
• Rae E Rich, LCSW
• Rebecca Rich, LCSW
• Stuart Rich, MD
• Richard a. Levy, MD LTD.
• Richard B. Diverde, DDS, LTD
• Richard CHI DDS, LTD.
• Richard Ezgur DC PC
• Richard H Telingator M.D. LTD.

• Point of Service in Chicago, IL
• Providers in Chicago, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.