James Bob Achebe, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

036-054592 Issued in IL

Practice address

10810 S Halsted St
Chicago, IL 60628-3126

Phone

(773) 785-9000

Fax

(773) 785-9191

NPI assigned

Sep 21, 2006

Last updated

Dec 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Bob Achebe MD SC

  • Adult Medicine Physician
  • Chicago, IL
  • NPI 1376662544
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1881793552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283126",
            "telephone_number": "773-785-9000",
            "fax_number": "773-785-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283126",
            "telephone_number": "773-785-9000",
            "fax_number": "773-785-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHEBE",
        "first_name": "JAMES",
        "middle_name": "BOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036-054592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "21606987",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "793013234",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036 054592",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiva Lal Acharya, MBBS
• Dennis Kofi Acheampong, MD
• Kofi Acheampong
• Ijeoma Achebe, FNP
• Ikechukwu B Achebe, MD
• Chad Achenbach, MD
• John Castles Acheson, MD
• Eliz Achhami, MD
• Juan Pablo Achi Hanna, M.D.
• Achieve Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.