Individual provider Active NPI

Uju Ezife

  • Family Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1215713557
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028615 Issued in IL
Practice address
8807 Fairfield LN
Tinley Park, IL 60487-4431
Phone
(773) 255-0785
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209027866 IL
Family Nurse Practitioner 363LF0000X 209028615 IL Primary

Addresses

Primary practice location

8807 Fairfield LN
Tinley Park, IL 60487-4431

Mailing address

8807 Fairfield LN
Tinley Park, IL 60487-4431
Phone (773) 255-0785

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250114000611 IL Practitioner - Nurse Practitioner 8224566641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Maria HealthGroup PAC ID 1557714839, 3 clinicians

Practice addresses (Care Compare)

314 E Downer PL
Aurora, IL 60505-3404
Phone (630) 346-3995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209028615ILMDFamily Nurse Practitioner
209027866ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Maria Health CurrentSince Jan 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

314 E Downer Pl
Aurora, IL 60505
Phone (630) 277-9608

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1215713557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8807 FAIRFIELD LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874431",
            "telephone_number": "773-255-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8807 FAIRFIELD LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874431",
            "telephone_number": "773-255-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZIFE",
        "first_name": "UJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.