Active NPI
Onuwa Juliet Ejechi I
- Community Health Worker
- Calumet City, IL
National Provider Identifier
1154672160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 057003496
- Practice address
- 519 Exchange Ave
Calumet City, IL 60409-3307 - Phone
- (708) 868-1287
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 057003496 | IL | Primary |
Addresses
Primary practice location
519 Exchange Ave
Calumet City, IL 60409-3307
Mailing address
519 Exchange Ave
Calumet City, IL 60409-3307
Phone (708) 868-1287
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057003496 | IL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1154672160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 EXCHANGE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604093307",
"telephone_number": "708-868-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 EXCHANGE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604093307",
"telephone_number": "708-868-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJECHI",
"first_name": "ONUWA",
"middle_name": "JULIET",
"name_prefix": "Mrs.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": "057003496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.