Organization Active NPI

Ambaco Limited

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1396566972
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMBACO LIMITED
Practice address
4554 N. Broadway Street Suite 314
Chicago, IL 60640-5621
Phone
(773) 784-5669
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Mr. Eddie Ngozi Nwosu
Title
President
Phone
(773) 784-5669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

4554 N. Broadway Street Suite 314
Chicago, IL 60640-5621

Mailing address

4554 N Broadway Street Suite 314
Chicago, IL 60640-5621
Phone (773) 784-5669

National Provider Directory

National Provider Directory

Locations

4554 N Broadway St
Ste 314
Chicago, IL 60640
Phone (773) 271-4110

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1396566972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY STREET SUITE 314",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405621",
            "telephone_number": "773-784-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N. BROADWAY STREET SUITE 314",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405621",
            "telephone_number": "773-784-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBACO LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-784-5669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2024; 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.