Organization Active NPI

The Ghana House Incorporated of Metropolitan Chicago

Doing business as Ghanaian Community Health Clinic

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1366168288
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE GHANA HOUSE INCORPORATED OF METROPOLITAN CHICAGO
Doing business as
Ghanaian Community Health Clinic
Practice address
9511 S Commercial Ave
Chicago, IL 60617-5051
Phone
(312) 961-7642
NPI assigned
Oct 12, 2022
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Dr. Prince Hodogbey, MD
Title
Medical Director
Phone
(312) 493-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

9511 S Commercial Ave
Chicago, IL 60617-5051

Mailing address

9511 S Commercial Ave
Chicago, IL 60617-5051
Phone (312) 961-7642

Other names 1

  • GHANAIAN COMMUNITY HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

9511 S Commercial Ave
Chicago, IL 60617
Phone (312) 961-7642

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1366168288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606175051",
            "telephone_number": "312-961-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 S COMMERCIAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606175051",
            "telephone_number": "312-961-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GHANA HOUSE INCORPORATED OF METROPOLITAN CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "HODOGBEY",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-493-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHANAIAN COMMUNITY HEALTH CLINIC",
            "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 Oct 12, 2022; 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.