Individual provider Active NPI

Eno Nsima-Obot, MD

  • Internal Medicine Physician
  • Maywood, IL
National Provider Identifier
1033180245
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-099035 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-099035 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Other identifiers 1

IdentifierTypeStateIssuer
036099035MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050111001011 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2860440351 Reassigns benefits to 7 organizations
I20110217000340 IN Practitioner - Internal Medicine 2860440351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1230 W Lake St
Chicago, IL 60607-1602
Phone (312) 666-0028

9401 Ridgeland Ave
Oak Lawn, IL 60453-2221
Phone (877) 883-9430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099035ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Company of Mary Affiliated Services Inc CurrentSince Aug 1, 2006 Accepting new patients
American Current Care PA CurrentSince Apr 7, 2025 Accepting new patients
Altea Medical Illinois PLLC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
American Current Care of Illinois PC CurrentSince May 6, 2024 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
American Current Care P.a. CurrentSince Apr 7, 2025 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince May 15, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Jul 1, 2010 Accepting new patients
Little Company of Mary Affiliated Services Inc Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jan 15, 2017 Accepting new patients
Decatur Memorial Hospital Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1230 W Lake St
Chicago, IL 60607
Phone (312) 666-0028

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

1101 E State St
Geneva, IL 60134
Phone (312) 519-9009

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

9401 Ridgeland Ave
Oak Lawn, IL 60453
Phone (708) 423-7882

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

1005 Broadway St
Quincy, IL 62301

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

7501 W 15th Ave
Gary, IN 46406
Phone (219) 977-2090

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 12

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 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1033180245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSIMA-OBOT",
        "first_name": "ENO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-099035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099035",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.