THEODORE LORD AGBEMAPLE

CHICAGO, IL
NPI1255190690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
Dr. THEODORE LORD AGBEMAPLE MD
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3000
Mailing Address
Dr. THEODORE LORD AGBEMAPLE MD
926 N WALNUT ST
SPRINGFIELD, IL 62702-3747
Phone number: 815-661-0642