Organization Active NPI

Peter Akerele

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1205092855
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PETER AKERELE
Practice address
2223 E 79TH St
Chicago, IL 60649-5016
Phone
(773) 978-2100
Fax
(773) 978-1568
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Dr. Peter Akerele
Title
Owner
Phone
(773) 978-2100

Specialties & licenses 1

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

Addresses

Primary practice location

2223 E 79TH St
Chicago, IL 60649-5016

Mailing address

175 N Harbor Dr Apt 3906
Chicago, IL 60601-7885
Phone (773) 978-2100

Other identifiers 1

IdentifierTypeStateIssuer
016003216MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1205092855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 3906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017885",
            "telephone_number": "773-978-2100",
            "fax_number": "773-978-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606495016",
            "telephone_number": "773-978-2100",
            "fax_number": "773-978-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER AKERELE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "AKERELE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-978-2100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003216",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.