MR. MFOMBU AYUKESONG (NPI# 1558673376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558673376 |
| Entity Type | Individual |
| Full Name | MR. MFOMBU AYUKESONG |
| Credential | CSA |
| Practice Address |
14828 Artesian Ave Harvey IL 60426-1313 |
| Mailing Address |
Po Box 44 Posen IL 60469-0044 |
| Practice Telephone | 7085664328 |
| Practice Fax Number | 7085893372 |
| Mailing Telephone | 7085664328 |
| Mailing Fax Number | 7085893372 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2380000263 | IL | Other Service Providers |
| Street Address |
14828 ARTESIAN AVE |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972653848 | Randall Lavell Jones Sr. | Surgery | 14828 Artesian Ave, Harvey, IL 60426-1313 | 2007-01-11 |
| 1497055529 | Anjeanette Gibson | Specialist | 14828 Artesian Ave, Harvey, IL 60426-1313 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707031 | Jonnika D Allen | Specialist | 3868 Irwin Kuntz Dr, Harvey, LA 70058-2129 | 2018-01-09 |
| 1255702726 | Trovania Carson | Specialist | 3813 N Deerwood Dr, Harvey, LA 70058 | 2015-10-09 |
| 1467822452 | Brandy Bush | Specialist | 1137 Tensas Dr Apt A, Harvey, LA 70058-4509 | 2015-10-02 |
| 1093834749 | Jerrlene Foster-strong | Specialist | 14452 Peoria St, Harvey, IL 60426-1838 | 2007-03-27 |
| 1891819074 | Mohammed Albert Bey Jr. | Specialist | 2100 Woodmere Blvd, Suite 200, Harvey, LA 70058-2294 | 2007-03-16 |
| 1396755013 | Charles Rene | Specialist | 3909 Lapalco Blvd Ste 200, Harvey, LA 70058-2302 | 2006-08-08 |
| 1528031663 | Michael Angelo Gaglia Jr. | Specialist | 1901 Manhattan Blvd Ste A200, Harvey, LA 70058-3585 | 2006-02-09 |
| 1497055529 | Anjeanette Gibson | Specialist | 14828 Artesian Ave, Harvey, IL 60426-1313 | 2010-10-22 |
| 1013185693 | Paul G Ngumi | Specialist | 15620 Wood St, Southwest Building, Harvey, IL 60426-4171 | 2008-02-15 |
| 1669659298 | Helene B Elias | Specialist | 71 W 156th St, Ste 210, Harvey, IL 60426-4260 | 2008-01-25 |
| Find all providers in HARVEY | ||||
Please comment or provide details below to improve the information on MR. MFOMBU AYUKESONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.