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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.