| Victor Sopuruchi Chukwueke, MD | |
|
4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659 | |
| (708) 684-5428 | |
| (708) 684-2079 |
| Full Name | Victor Sopuruchi Chukwueke |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4400 W 95th St Ste 306, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760998009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036-166403 (Illinois) | Primary |
| Entity Name | Michigan Sports And Spine Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205887262 PECOS PAC ID: 0749243467 Enrollment ID: O20041104000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Sopuruchi Chukwueke, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Victor Sopuruchi Chukwueke, MD 4400 W 95th St Ste 306, Oak Lawn, IL 60453-2659 Ph: (708) 684-5428 |
Anterpreet Singh, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079 | |
Don Mathew, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4431 | |
Mahmoud Jallid Abdel, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079 | |
Ami Parekh Hampole, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 | |
Shari S Ludwig, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Emg Lab, Room 042 South, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079 | |
Mr. Ashraf Ali Elkossei, PHYSICAL THERAPIST Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9215 S Tripp Ave, Oak Lawn, IL 60453 Phone: 708-989-8989 | |
Douglas Koltun, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 306, Oak Lawn, IL 60453 Phone: 708-684-5428 Fax: 708-684-2079 |