Provider Demographics
NPI:1285164509
Name:BETTER QUALITY OF LIFE CARE MD, PC
Entity type:Organization
Organization Name:BETTER QUALITY OF LIFE CARE MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:AKINTUNDE
Authorized Official - Last Name:OLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-933-0661
Mailing Address - Street 1:8334 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1440
Mailing Address - Country:US
Mailing Address - Phone:312-933-0661
Mailing Address - Fax:
Practice Address - Street 1:8334 BEECH AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1440
Practice Address - Country:US
Practice Address - Phone:312-933-0661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN261QM1300X
261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty