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Ted George Ody Achufusi, DO
Family Medicine Physician in Harvey, Illinois
NPI 1033353792

Ted George Ody Achufusi is a Family Medicine Physician based in Harvey, IL. Ted George Ody Achufusi practices in Harvey, IL and has the professional credentials of DO. The NPI Number for Ted George Ody Achufusi is 1033353792 and holds a License No. 02004055B (Illinois).

The current practice location address for Ted George Ody Achufusi is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177 and via fax at 708-596-5518. You can also correspond with Ted George Ody Achufusi through the mailing address at 31 W 155TH ST, HARVEY, IL - 60426-3556 (mailing address contact number: 708-596-5177).

Location: 31 W 155Th St, Harvey, IL, 60426-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033353792
Provider Name
Ted George Ody Achufusi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
Provider Enumeration Date
04/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201115610 05 KS
036129835 05 IL
151020027 01 IN PTAN
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02004055A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02004055B (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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