Organization · Type 2 NPI

Korle Bu Medical Group

Pharmacist · Chicago, IL

NPI number 1649203092 Active

Practice location

5517 S. Ellis Ave
Chicago, IL 60637

Call (773) 643-0400 Map

Fax (773) 643-0640

Mailing address

9033 Reserve Dr
Willow Springs, IL 60480-1655

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Optometrist 152W00000XNone listed
Pharmacist Primary 183500000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Podiatrist 213E00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1649203092

Korle Bu Medical Group's National Provider Identifier is 1649203092, issued on Jul 9, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2025.