DR. THEODORE LORD AGBEMAPLE MD
NPI 1255190690
Student in an Organized Health Care Education/Training Program in Chicago, IL
About Dr. Theodore Lord Agbemaple Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE LORD AGBEMAPLE MD (NPI 1255190690) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2024. He maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theodore Agbemaple's NPI number?
The NPI number for Theodore Agbemaple is 1255190690. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Theodore Agbemaple located?
Theodore Agbemaple practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-3000.
What is Theodore Agbemaple's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Theodore Agbemaple was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theodore Lord Agbemaple, MD · NPI 1255190690
Student in an Organized Health Care Education/Training Program provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1255190690 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2900 N LAKE SHORE DR, Chicago, IL 60657-5640
- **Phone:** (773) 665-3000
## Record status
- **NPPES last updated:** March 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255190690) · Data from the CMS NPPES public registry.