Organization Active NPI

Chyodo Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1154471688
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000515 Issued in IL
Legal business name
CHYODO GROUP, INC.
Doing business as
Chyodo Medical Supplies
Practice address
211 East 31St Street
Chicago, IL 60616-3946
Phone
(773) 436-9600
Fax
(773) 436-9611
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chima Uwanamodo
Title
President
Phone
(773) 436-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000515 IL Primary

Addresses

Primary practice location

211 East 31St Street
Chicago, IL 60616-3946

Mailing address

211 East 31St Street
Chicago, IL 60616-3946
Phone (773) 436-9600

Other identifiers 1

IdentifierTypeStateIssuer
200496610AMedicaidIN

Other names 1

  • Chyodo Medical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072803 IL DME Supplier - Medical Supply Company 6103032073 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

211 E 31st St
Chicago, IL 60616
Phone (773) 436-9600

3435 S Indiana Ave
Chicago, IL 60616
Phone (773) 436-9600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1154471688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EAST 31ST STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163946",
            "telephone_number": "773-436-9600",
            "fax_number": "773-436-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST 31ST STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163946",
            "telephone_number": "773-436-9600",
            "fax_number": "773-436-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHYODO GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "UWANAMODO",
        "authorized_official_first_name": "CHIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-436-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chyodo Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.