Muna Odeh

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085005632 Issued in IL

Practice address

4332 N Elston Ave
Chicago, IL 60641-2144

Phone

(773) 754-3500

NPI assigned

Nov 20, 2013

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1104256593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412144",
            "telephone_number": "773-754-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEH",
        "first_name": "MUNA",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2013-11-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octave Healhcare Corp
• Ocular Diagnostics SC
• Mary Odafe, PH.D.
• Adeshewa Odedina, DMD, MS
• Ameer Odeh
• Yaseen K Odeh, M.D.
• Nkiruka Odeluga, DO
• Glenda D Oden, RD, CDE, LDN
• Jacob Oden
• Olatoyosi Odenike

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.