Organization
PETER AKERELE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER AKERELE (OWNER)
(773) 978-2100
Entity
Organization
Contact information
Practice address
2223 E 79TH ST, CHICAGO, IL 60649-5016
(773) 978-2100
(773) 978-1568
Mailing address
175 N HARBOR DR APT 3906, CHICAGO, IL 60601-7885
(773) 978-2100
(773) 978-1568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003216
—
IL
Enumeration date
08/04/2008
Last updated
08/25/2008
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