KORLE BU MEDICAL GROUP NPI 1649203092

NPI Information

NPI: 1649203092
Provider Name: KORLE BU MEDICAL GROUP
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address: 5517 S. ELLIS AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 643-0400

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NPI Details

KORLE BU MEDICAL GROUP is a pharmacist in Chicago, IL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. KORLE BU MEDICAL GROUP NPI is 1649203092. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5517 S. ELLIS AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 643-0400
Fax: (773) 643-0640

The provider's authorized official is John Acquaye-awah .
The authorized official title is President and has the following contact phone number (773) 643-0400.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 9/11/2025.

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	Primary
1	122300000X	Dentist	No
2	152W00000X	Optometrist	No
3	207Q00000X	Family Medicine	No
4	207R00000X	Internal Medicine	No
5	207W00000X	Ophthalmology	No
6	213E00000X	Podiatrist	No
7	225100000X	Physical Therapist	No
8	225X00000X	Occupational Therapist	No
9	183500000X	Pharmacist	Yes

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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