Organization
GOODHEALTH MEDICAL PRODUCTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCEE T EKUFU (PRESIDENT)
(773) 737-9005
Entity
Organization
Contact information
Practice address
2621 W 79TH ST, CHICAGO, IL 60652-1708
(773) 737-9005
(773) 737-9012
Mailing address
2621 W 79TH ST, CHICAGO, IL 60652-1708
(773) 737-9005
(773) 737-9012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000439
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633204
ILLINOIS BLUE CROSS BS
IL
Enumeration date
10/06/2006
Last updated
10/06/2008
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