Organization Active NPI

Goodhealth Medical Products, Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1689761934
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000439 Issued in IL
Legal business name
GOODHEALTH MEDICAL PRODUCTS, INC
Practice address
2621 W 79TH St
Chicago, IL 60652-1708
Phone
(773) 737-9005
Fax
(773) 737-9012
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Kaycee T Ekufu
Title
President
Phone
(773) 737-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000439 IL Primary

Addresses

Primary practice location

2621 W 79TH St
Chicago, IL 60652-1708

Mailing address

2621 W 79TH St
Chicago, IL 60652-1708
Phone (773) 737-9005

Other identifiers 1

IdentifierTypeStateIssuer
0001633204OtherILILLINOIS BLUE CROSS BS

National Provider Directory

National Provider Directory

Locations

2621 W 79th St
Chicago, IL 60652
Phone (773) 737-9005

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1689761934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521708",
            "telephone_number": "773-737-9005",
            "fax_number": "773-737-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521708",
            "telephone_number": "773-737-9005",
            "fax_number": "773-737-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHEALTH MEDICAL PRODUCTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "EKUFU",
        "authorized_official_first_name": "KAYCEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-737-9005"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BLUE CROSS BS",
            "identifier": "0001633204",
            "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 Oct 6, 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.