EUGENE CHUKUDEBELU MD SC – NPI #1104005966
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

EUGENE CHUKUDEBELU MD SC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1104005966 to EUGENE CHUKUDEBELU MD SC on October 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EUGENE CHUKUDEBELU MD SC below.

NPI Profile for
EUGENE CHUKUDEBELU MD SC

NPI Number
1104005966
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EUGENE CHUKUDEBELU MD SC
Primary location
326 W 64TH ST
SUITE 318
CHICAGO, IL 60621-3114
Phone: (773) 723-9500 Fax: (773) 224-4403
Mailing address
8259 S SAINT LAWRENCE AVE
CHICAGO, IL 60619-5009
Phone: (773) 723-9500 Fax: (773) 224-4403
Organization Subpart
No
Authorized Official
EUGENE CHUKUDEBELU
PRESIDENT
Phone: (773) 723-9500
Updated
Identifiers

Identifiers for EUGENE CHUKUDEBELU MD SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDIL21607396
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.