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Individual
JAMES BOB ACHEBE
Active
Individual
JAMES BOB ACHEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036-054592
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036 054592
—
IL
01
—
21606987
BLUE CROSS/SHIELD
IL
01
—
793013234
RAIL ROAD MEDICARE
IL
Enumeration date
09/21/2006
Last updated
12/04/2009
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