Hilda Mkwezalamba

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

041400061 Issued in IL

Practice address

810 Chickory Dr
Champaign, IL 61822-2101

Phone

(217) 819-0573

Fax

(443) 312-5613

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Thuta Healthcare Services

  • In Home Supportive Care Agency
  • Champaign, IL
  • NPI 1619685948
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1023725728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CHICKORY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222101",
            "telephone_number": "217-819-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CHICKORY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222101",
            "telephone_number": "217-819-0573",
            "fax_number": "443-312-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Chickory Dr",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618222101",
            "country_code": "US",
            "telephone_number": "217-819-0573",
            "fax_number": "443-312-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MKWEZALAMBA",
        "first_name": "HILDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "IL",
            "license": "041400061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Jean Mitchaner, COTA/L
• Blair Elizabeth Mitchell-Handley, MD
• Breanna Mitchell, RBT
• Lori S Mitchell
• Curtis R Mitchem, DMD
• Mobility Center of Chicago
• Lora D Mock, PT
• Amy Modrzejewski, CCC-SLP/L
• Kevin Moehn
• Othman Mahmoud Mohammad, MD

• Rehabilitation Registered Nurse in Champaign, IL
• Providers in Champaign, IL by specialty
• Rehabilitation Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.