Individual provider Active NPI

Julius Anjei Njeh

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1023669538
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019915 Issued in IL
Practice address
4840 N Marine Dr
Chicago, IL 60640-7860
Phone
(775) 225-7520
NPI assigned
Sep 25, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019915 IL Primary

Addresses

Primary practice location

4840 N Marine Dr
Chicago, IL 60640-7860

Mailing address

4840 N Marine Dr
Chicago, IL 60640-7860
Phone (773) 225-7520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602000935 IL Practitioner - Nurse Practitioner 7911328836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Medical Group LTDGroup PAC ID 4082668405, 11 clinicians

Practice addresses (Care Compare)

1635 E 154TH St
Dolton, IL 60419-3001
Phone (708) 841-9550

5025 N Paulina St
Chicago, IL 60640-2772
Phone (773) 271-9040

8012 S Crandon Ave
Chicago, IL 60617-1124
Phone (773) 356-5000

850 W Irving Park Rd
Chicago, IL 60613-3099
Phone (773) 525-6780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J C Medical Group LTD CurrentSince Feb 1, 2020 Accepting new patients

Locations

6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800

1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1023669538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407860",
            "telephone_number": "773-225-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407860",
            "telephone_number": "775-225-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJEH",
        "first_name": "JULIUS",
        "middle_name": "ANJEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.