Organization Active NPI

Magnificent Healthcare & CPR Inc.

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720669989
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Margaret Okodua, DNP, APN, RNNPI 1851683536
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)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
20210108206845MedicaidIL

Other names 1

  • Magnificent Healthcare & CPR Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.