TED GEORGE ODY ACHUFUSI

HARVEY, IL
NPI1033353792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036129835)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  02004055B)
207Q00000X Family Medicine
(Licence: IN  02004055A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-04-26
Last Update Date2022-06-10
Business Address
TED GEORGE ODY ACHUFUSI DO
31 W 155TH ST
HARVEY, IL 60426-3556
Phone number: 708-596-5177
Mailing Address
TED GEORGE ODY ACHUFUSI DO
31 W 155TH ST
HARVEY, IL 60426-3556
Phone number: 708-596-5177