Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore Lord Agbemaple, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255190690

Dr. Theodore Lord Agbemaple, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone: (773) 665-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 W North Ave, Chicago, IL 60610-1174 — (213) 337-1982

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255190690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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