Individual provider Active NPI

Anwuli O. Okoli, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Oak Lawn, IL
National Provider Identifier
1225090533
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036100619 Issued in IL
Practice address
4440 W 95TH St FL 7
Oak Lawn, IL 60453-2600
Phone
(708) 684-4584
Fax
(708) 520-1919
NPI assigned
Apr 3, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036100619 IL Primary

Addresses

Primary practice location

4440 W 95TH St FL 7
Oak Lawn, IL 60453-2600

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

30 Tower Ct
Suite c
Gurnee, IL 60031-3322
Phone (847) 672-6478

Other identifiers 2

IdentifierTypeStateIssuer
04920125OtherILBC/BS OF IL
0361006191MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aokoli236370@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000617 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1052321304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

4440 W 95TH St
Oak Lawn, IL 60453-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036100619ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Windy City Anesthesia PC CurrentSince Jul 1, 2012 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 23, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Jacksonville Crnas Inc CurrentSince Jul 22, 2020 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 23, 2023 Accepting new patients
Windy City Anesthesia PC CurrentSince Jul 1, 2012 Accepting new patients
Lake Zurich Physical Medicine, SC Past Accepting new patients
Grand Oaks Anesthesia PC Past Accepting new patients
Jonathan a Senal Service Corporation Past Accepting new patients
North Suburban Medical S.C. PastSince Aug 30, 2004 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

29373 Network Pl
Chicago, IL 60673

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

4440 W 95th St
Fl 7
Oak Lawn, IL 60453
Phone (708) 684-4684

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1225090533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST FL 7",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4584",
            "fax_number": "708-520-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tower Ct",
            "address_2": "Suite c",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313322",
            "country_code": "US",
            "telephone_number": "847-672-6478",
            "fax_number": "847-672-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLI",
        "first_name": "ANWULI",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036100619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "04920125",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361006191",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aokoli236370@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4440 W 95th St Fl 7",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St Fl 7",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.