Individual provider Active NPI

Ogoamaka C Igwe

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1215777578
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028622 Issued in IL
Practice address
1122 Willow Rd
Northbrook, IL 60062-6824
Phone
(847) 714-1220
NPI assigned
May 24, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209028622 IL Primary

Addresses

Primary practice location

1122 Willow Rd
Northbrook, IL 60062-6824

Mailing address

1122 Willow Rd
Northbrook, IL 60062-6824
Phone (847) 714-1220

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
I20240716000199 IL Practitioner - Nurse Practitioner 1951846807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209028622ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jun 19, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 19, 2024 Accepting new patients

Locations

1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1215777578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WILLOW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626824",
            "telephone_number": "847-714-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WILLOW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626824",
            "telephone_number": "847-714-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWE",
        "first_name": "OGOAMAKA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.