RICHARD & SUSAN EGWELE MDSC (NPI# 1174659734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174659734 |
| Entity Type | Organization |
| Organization Name | RICHARD & SUSAN EGWELE MDSC |
| Other Organization Name | EXCHANGE MEDICAL CENTER |
| Practice Address |
9135 S Exchange Ave Chicago IL 60617-4225 |
| Practice Telephone | 7733742441 |
| Practice Fax Number | 7733747652 |
| Mailing Telephone | 7733742441 |
| Mailing Fax Number | 7733747652 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | SUSAN OYETUNDE (MANAGER) |
| Authorized Official Telephone | 7733712443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 36-2093081 | IL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Exchange Medical Center | Doing Business As Name - Organization |
| Street Address |
9135 S EXCHANGE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699829747 | Susan T Oyetunde | Pediatrics | 9135 S Exchange Ave, Chicago, IL 60617-4225 | 2007-01-23 |
| 1265081624 | Olatoye Rehabilitation Centers, Inc. | Clinic/Center | 9135 S Exchange Ave, Chicago, IL 60617-4225 | 2019-09-09 |
| 1306991310 | Richard A Egwele | Orthopaedic Surgery | 9135 S Exchange Ave, Chicago, IL 60617-4225 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998326 | Balanced Health | Point of Service | 140 W 62nd St, Chicago, IL 60621-3809 | 2020-06-29 |
| 1699182642 | In Home Counseling for Seniors | Point of Service | 2318 N Lowell Ave, Chicago, IL 60639-3520 | 2014-07-22 |
| 1720419732 | The Excellence Group, LLC | Point of Service | 1102 E 46th St Unit 202, Chicago, IL 60653-4435 | 2013-12-02 |
| 1588918684 | Regina H Rocha Dds, Ms, PC | Point of Service | 1649 W Cortland St Unit C-101, Chicago, IL 60622-8974 | 2012-10-29 |
| 1487929097 | Art of Healing Touch | Point of Service | 1746 E 55th St, Chicago, IL 60615-5966 | 2012-03-14 |
| 1790096865 | Genuine Home Care Services, Inc. | Point of Service | 7420 N Western Ave, Chicago, IL 60645-1707 | 2010-06-23 |
| 1659427425 | International Dental Center | Point of Service | 3138 N Narragansett Ave, Chicago, IL 60634-4919 | 2007-01-26 |
| 1598833659 | Nova Care | Point of Service | 5405 S Harlem Ave, Chicago, IL 60638-2205 | 2006-11-30 |
| 1972917599 | Dental Dreams | Point of Service | 350 N Clark St, Suite 600, Chicago, IL 60654-4712 | 2014-06-12 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on RICHARD & SUSAN EGWELE MDSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.