Organization
MAGNIFICENT HEALTHCARE & CPR INC.
Active
Organization
MAGNIFICENT HEALTHCARE & CPR INC.
Active
Other names
Magnificent Healthcare & CPR Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET OKODUA DNP, APN, RN (ADMINISTRATOR)
(773) 856-3202
Entity
Organization
Contact information
Practice address
2046 W DEVON AVE, CHICAGO, IL 60659-2241
(312) 685-5243
Mailing address
6443 N HOYNE AVE, CHICAGO, IL 60645-5850
(312) 685-5243
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20210108206845
—
IL
Enumeration date
04/19/2021
Last updated
12/27/2024
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