Udochukwu O Asonye, M.D.
Individual provider Active NPI Pediatrics Physician · Berwyn, IL
NPI 1114964673 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1114964673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036052108 (IL)
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-2226
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010001141 | IL | Practitioner - Pediatric Medicine | 5294639803 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052108 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gottlieb Community Health Services Corporation | Current |
Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Midwest Neoped Associates LTD | Current |
Accepting new patients | |
| Gottlieb Community Health Services Corporation | Current |
Accepting new patients | |
| Humboldt Park Health | Hospitalist | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
900 Jorie Blvd
Ste 186
Oak Brook, IL 60523
Phone (630) 954-6700
Interoperability endpoints
- udochukwuasonye@jph.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036052108 | IL | |
| Pediatrics Physician | 208000000X | 036052108 | IL | Yes |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213
Phone (630) 954-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052108 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uasonye237215@direct.luhs.org | Direct |
Other providers in Berwyn, IL
- Sophie Aroesty
- Melissa Marie Arredondo
- Arze Doctors Center SC
- Ricardo Arze
- Obadah Asbahi
- Muaz Nizar Assaf
- Rami Assaf
- Associates in Behavioral Science, LTD.
- Athletico, LTD
- Nancy Atobrah
All providers in Berwyn, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.