Active NPI
Magnificent Healthcare & CPR Inc.
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1720669989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MAGNIFICENT HEALTHCARE & CPR INC.
- Doing business as
- Magnificent Healthcare & CPR Inc.
- Practice address
- 2046 W Devon Ave
Chicago, IL 60659-2241 - Phone
- (312) 685-5243
- NPI assigned
- Apr 19, 2021
- Last updated
- Dec 27, 2024
- 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
- Margaret Okodua, DNP, APN, RN
- Title
- Administrator
- Phone
- (773) 856-3202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2046 W Devon Ave
Chicago, IL 60659-2241
Mailing address
6443 N Hoyne Ave
Chicago, IL 60645-5850
Phone (312) 685-5243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20210108206845 | Medicaid | IL |
Other names 1
- Magnificent Healthcare & CPR Inc.
National Provider Directory
National Provider DirectoryLocations
4554 N Broadway St
Ste 325
Chicago, IL 60640
Phone (312) 685-5243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1851683536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1720669989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6443 N HOYNE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606455850",
"telephone_number": "312-685-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 W DEVON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606592241",
"telephone_number": "312-685-5243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNIFICENT HEALTHCARE & CPR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-19",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "OKODUA",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-856-3202",
"authorized_official_credential": "DNP, APN, RN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20210108206845",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnificent Healthcare & CPR Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnificent Healthcare & CPR Inc.",
"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 Dec 27, 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.