MEDICARE: OLUSEUGUN OGUNGBEMI M.D/CEO

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	171M00000X	Case Manager/Care Coordinator		IL

General Provider Information

NPI Number	:	1295270239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUSEUGUN OGUNGBEMI M.D/CEO

Provider Business Mailing Address
First Line	:	7645 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-1345
Country	:	US
Telephone Number	:	773-817-5608
Fax Number	:

Provider Business Practice Location Address
First Line	:	7645 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-1345
Country	:	US
Telephone Number	:	773-817-5608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	12/29/2016

Similar Medicare Providers

1790226868 — CHALSEA AIWOHI PHARMD
Practice Location Address:

1345 1/2 W TOUHY AVE , APT 1E
CHICAGO, IL
60626-2674

Practice Phone: 808-336-1278
Practice Fax:

1538919204 — KATHLEEN GREEN LCSW
Practice Location Address:

1345 W FARGO AVE APT 1W
CHICAGO, IL
60626-1839

Practice Phone: 312-761-9513
Practice Fax:

1598727349 — KELLI MARIE HIGHTSHOE ATC,R
Practice Location Address:

934 CHICAGO AVE
MINNEAPOLIS, MN
55404-1345

Practice Phone: 952-210-5391
Practice Fax:

1124107826 — APEX DURABLE MEDICAL SUPPLIES INC
Practice Location Address:

1354 W DEVON AVE
CHICAGO, IL
60660-1345

Practice Phone: 773-764-1959
Practice Fax: 773-764-1963

1699898494 — MS. NORA ANN MULCHRONE
Practice Location Address:

2550 W 112TH ST , UNIT 9
CHICAGO, IL
60655-1345

Practice Phone: 773-213-0695
Practice Fax:

1417146671 — MISS FRA ANGELICA S FARINAS LCSW
Practice Location Address:

1345 N ASHLAND AVE
CHICAGO, IL
60622-7391

Practice Phone: 773-615-1598
Practice Fax:

Directions to “ OLUSEUGUN OGUNGBEMI M.D/CEO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.