J. BOB ACHEBE MD SC NPI 1376662544

NPI Information

  • NPI: 1376662544
  • Provider Name: J. BOB ACHEBE MD SC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 10810 S HALSTED ST
    CHICAGO, IL
    ZIP 60628
  • Phone: (773) 785-9000

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NPI Details

J. BOB ACHEBE MD SC is an adult medicine family medicine in Chicago, IL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. J. BOB ACHEBE MD SC NPI is 1376662544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10810 S HALSTED ST
CHICAGO, IL
ZIP 60628-126
Phone: (773) 785-9000

The provider's authorized official is James Bob Achebe .
The authorized official title is Owner and has the following contact phone number (773) 333-5782.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine036054592ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C42372MEDICARE UPINILLINOIS
2036054592MEDICAIDILLINOIS
321606987OTHERILLINOISBCBSIL
4492650MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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