Provider Demographics
NPI:1023731882
Name:TEIBO HEALTHCARE CONSULTING INC
Entity type:Organization
Organization Name:TEIBO HEALTHCARE CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BASHIRU
Authorized Official - Middle Name:OLADELE
Authorized Official - Last Name:BABAWALE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:773-719-0070
Mailing Address - Street 1:3710 VILLAGE DR HAZEL CREST
Mailing Address - Street 2:3710 VILLAGE DR
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2441
Mailing Address - Country:US
Mailing Address - Phone:773-719-0070
Mailing Address - Fax:
Practice Address - Street 1:3710 VILLAGE DR HAZEL CREST
Practice Address - Street 2:3710 VILLAGE DR
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2441
Practice Address - Country:US
Practice Address - Phone:773-719-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty