NPI

Ted George Ody Achufusi

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2009-04-26
Last updated
2026-05-27

Specialties

Licenses

License IN
02004055B
License IL
036129835
License ME
Number not in the file
License IN
02004055A

Location

Practice location
31 W 155th St
City
Harvey IL
Postal code
60426-3556
Phone
(708) 596-5177

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Harvey, IL. 442 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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