Covenant Medical Devices and Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000482 Issued in IL

Legal business name

COVENANT MEDICAL DEVICES AND SUPPLIES

Practice address

199A W Joe Orr Road
Chicago Heights, IL 60411

Phone

(708) 754-7061

Fax

(708) 754-8516

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Israel Ndubuisi Otuwa

Title

Managing Director

Phone

(708) 754-7061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1225159403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199A W JOE ORR ROAD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "60411",
            "telephone_number": "708-754-7061",
            "fax_number": "708-754-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199A W JOE ORR ROAD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "60411",
            "telephone_number": "708-754-7061",
            "fax_number": "708-754-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL DEVICES AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "OTUWA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "NDUBUISI",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "708-754-7061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Connor Conner
• Starsky Conner
• Marc Connery, MD
• Karol A Corey, OT
• Covenant Behavioral Health Services
• Crest Health Solutions Co
• Lashonda Crockett
• Catherine Cunningham, MSW
• Kristin Michelle Daugherty, M.D.
• Kierra Davenport

• Durable Medical Equipment & Medical Supplies in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.