Maurice Puomaaye Konta

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

041399052 Issued in IL

Practice address

7220 S South Shore Dr Apt 406
Chicago, IL 60649-2751

Phone

(872) 901-2057

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Contract Nursing LLC

  dba Mega Health LLC

  • Nursing Care Agency
  • Chicago, IL
  • NPI 1508562851
  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1851143135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 S SOUTH SHORE DR APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492751",
            "telephone_number": "312-774-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S SOUTH SHORE DR APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492751",
            "telephone_number": "872-901-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUOMAAYE KONTA",
        "first_name": "MAURICE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041399052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabel Lingan Punsalan, APN
• Minette Lingan Punsalan
• Nicolette Ann Puntini
• Indru Punwani, DDS
• Benjamin William Puodziunas, RD
• Pupil Vision Center
• Shilpa Puppala, MD
• Shyam Puppala, MD
• John David Purakal, M.D., M.S.
• Caitlin Purcell

• Administrator Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Administrator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.