Organization Active NPI

Cardio Pulmonary Associates Inc

  • Oxygen Equipment & Supplies (DME)
  • Chicago, IL
National Provider Identifier
1477793073
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
203-000235 Issued in IL
Legal business name
CARDIO PULMONARY ASSOCIATES INC
Practice address
2923 N Milwaukee Ave
Chicago, IL 60618-7404
Phone
(773) 384-4494
Fax
(773) 384-4422
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Mr. Waldemar Chodakowski
Title
Owner
Phone
(773) 384-4494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 194-003475 IL
Oxygen Equipment & Supplies (DME) 332BX2000X 203-000235 IL Primary

Addresses

Primary practice location

2923 N Milwaukee Ave
Chicago, IL 60618-7404

Mailing address

2923 N Milwaukee Ave
Chicago, IL 60618-7404
Phone (773) 384-4494

Other identifiers 1

IdentifierTypeStateIssuer
01635008OtherILBLUE SHIELD OF IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1477793073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187404",
            "telephone_number": "773-384-4494",
            "fax_number": "773-384-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187404",
            "telephone_number": "773-384-4494",
            "fax_number": "773-384-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO PULMONARY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "CHODAKOWSKI",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-384-4494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "194-003475",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203-000235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "01635008",
            "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 Feb 24, 2009; 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.