Organization Active NPI

Aggeus Healthcare PC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1891904249
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
060008927 Issued in IL
Legal business name
AGGEUS HEALTHCARE PC
Practice address
4350 N Broadway St
FL 2
Chicago, IL 60613-1781
Phone
(773) 770-0140
Fax
(773) 770-0141
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Yev Gray, DPM
Title
Ceo
Phone
(773) 770-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 060008927 IL Primary

Addresses

Primary practice location

4350 N Broadway St
FL 2
Chicago, IL 60613-1781

Mailing address

4350 N Broadway St
FL 2
Chicago, IL 60613-1781
Phone (773) 770-0140

National Provider Directory

National Provider Directory

Locations

4350 N Broadway St
Ste 2
Chicago, IL 60613
Phone (773) 770-0140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1891904249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 N BROADWAY ST",
            "address_2": "FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131781",
            "telephone_number": "773-770-0140",
            "fax_number": "773-770-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 N BROADWAY ST",
            "address_2": "FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131781",
            "telephone_number": "773-770-0140",
            "fax_number": "773-770-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGEUS HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YEV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "060008927",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 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.