MEDICARE: ERYTHRO MEDICAL & URGENT CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01047948A	IN
2	208D00000X	General Practice Physician	01047948A	IN
3	207Q00000X	Family Medicine Physician	01047948A	IN
4	207R00000X	Internal Medicine Physician		IL
5	208D00000X	General Practice Physician		IL
6	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1942347075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERYTHRO MEDICAL & URGENT CARE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 286057
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-2713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 EAST 103 STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-2713
Country	:	US
Telephone Number	:	773-660-1635
Fax Number	:	773-660-1638

Authorized Official
Title or Position	:	PRESIDENT & MEDICAL DIRECTOR
Name	:	DR. OLUKAYODE OLOWE
Credential	:	MD PHD
Telephone Number	:	773-660-1635

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/11/2025

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Directions to “ERYTHRO MEDICAL & URGENT CARE CENTER ” Practice Location

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