Organization Active NPI

Cross Road Obstetrics and Gynecology Clinic

  • Specialist
  • Chicago, IL
National Provider Identifier
1053595918
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036094748 Issued in IL
Legal business name
CROSS ROAD OBSTETRICS AND GYNECOLOGY CLINIC
Practice address
3724 W Chicago Ave
Chicago, IL 60651-3820
Phone
(773) 486-3300
Fax
(773) 486-3071
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Tochukwu O Onyekwuluje, M.D.
Title
Physician
Phone
(773) 486-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036094748 IL Primary

Addresses

Primary practice location

3724 W Chicago Ave
Chicago, IL 60651-3820

Mailing address

P.O. Box 5111
Oakbrook, IL 60522-5111
Phone (773) 486-3300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1053595918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5111",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605225111",
            "telephone_number": "773-486-3300",
            "fax_number": "773-486-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513820",
            "telephone_number": "773-486-3300",
            "fax_number": "773-486-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS ROAD OBSTETRICS AND GYNECOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ONYEKWULUJE",
        "authorized_official_first_name": "TOCHUKWU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-486-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036094748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.