Individual provider

Beauty Etukudoh, MD

Internal Medicine Physician Student in an Organized Health Care Education/Training Program

Beauty Etukudoh, MD is an Internal Medicine Physician in Park Ridge, IL, registered under NPI 1114759396. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1775 BALLARD RD, Park Ridge, IL 60068. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1775 BALLARD RD, Park Ridge, IL 60068 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
125.083606 IL Internal Medicine Physician primary
125.083606 IL Student in an Organized Health Care…

This provider holds licence 125.083606 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Internal Medicine covers

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician 125.083606 IL primary
390200000X Student in an Organized Health Care Education/Training Program 125.083606 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114759396 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 16, 2024
Last updatedAug 21, 2024
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1775 BALLARD RD
Park Ridge, IL 60068
(847) 318-9340
Fax (847) 318-2966
Mailing address 2600 GOLF RD APT 600
Glenview, IL 60025
This record was updated on Aug 21, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1114759396 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 7 5 9 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 5 5 9 3 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114759396?
NPI 1114759396 is the National Provider Identifier assigned to Beauty Etukudoh, MD in Park Ridge, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive…
How do I contact Beauty Etukudoh, MD?
The phone number on file with NPPES is (847) 318-9340, last updated Aug 21, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114759396 a valid number?
Yes. 1114759396 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.