Kelechi Chima

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

363L00000X Issued in IL

Practice address

509 Northgate LN
Shorewood, IL 60404-6801

Phone

(708) 698-3627

NPI assigned

Apr 6, 2017

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Association for Individual DevelopmentGroup PAC ID 7719919034, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelechi.chima.1@14940.direct.athenahealth.com
• Direct secure messaging: kchima187641@uchospital.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  Primary Care

  Medicare reassignment Care Compare group NPD
• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  Medicare reassignment Care Compare group
• Primary Care Physicians of Joliet SC

  • Primary Care Clinic/Center
  • Joliet, IL
  • NPI 1912473604
  Medicare reassignment NPD
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033218128
  Medicare reassignment NPD
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1164955142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTHGATE LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604046801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NORTHGATE LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604046801",
            "telephone_number": "708-698-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA",
        "first_name": "KELECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "363L00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bullard
• Kaylee Burian, COTA/L
• Jayme Leigh Cabrera, RN
• Caylee A Caldwell, DT
• Lisa Margaret Caveney, P.T.
• Dana T Chlebek, PHARMD
• Alexia Dominique Chlibovytsch
• City Wide Village Mattress
• Michael Ciurej, P.T.
• Megan Elizabeth Cladis

• Primary Care Nurse Practitioner in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.