NPI 1033353792 · live from the CMS NPI Registry
Ted George Ody Achufusi, DO
Family Medicine in Harvey, IL. National Provider Identifier 1033353792, active.
NPI record
| NPI | 1033353792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 31 W 155th St, Harvey, IL 60426 |
| Practice phone | 708-596-5177 |
| Mailing address | 6738 Blackstone Cir, Portage, IN 46368 |
| Enumerated | April 26, 2009 |
| Last updated | May 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 02004055B (IN) |
| Family Medicine | 207Q00000X | 036129835 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (ME) |
| Family Medicine primary | 207Q00000X | 02004055A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.