Active NPI
Okenna Egwu, PH.D
- Counselor
- Chicago, IL
National Provider Identifier
1114612496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180010018
- Practice address
- 4411 N Greenview Ave Apt 3S
Chicago, IL 60640-5900 - Phone
- (708) 927-4511
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180010018 | IL | Primary |
Addresses
Primary practice location
4411 N Greenview Ave Apt 3S
Chicago, IL 60640-5900
Mailing address
4411 N Greenview Ave Apt 3S
Chicago, IL 60640-5900
Phone (708) 927-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010018 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1114612496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 N GREENVIEW AVE APT 3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405900",
"telephone_number": "708-927-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N GREENVIEW AVE APT 3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405900",
"telephone_number": "708-927-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGWU",
"first_name": "OKENNA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180010018",
"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 Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.