Active NPI
Chukwudi Uzor Ulogo, ADMINISTRATOR
- Nurse's Aide
- Skokie, IL
National Provider Identifier
1245718600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 3349 Main St
Skokie, IL 60076-2432 - Phone
- (773) 979-1979
- NPI assigned
- Jul 29, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
3349 Main St
Skokie, IL 60076-2432
Mailing address
3349 Main St
Skokie, IL 60076-2432
Phone (773) 979-1979
Other practice location 1
3349 Main St
Skokie, IL 60076-2432
Phone (773) 979-1979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271635793001 | Medicaid | IL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serendipty Home Healthcare, Inc. | Current | Accepting new patients | |
| Serendipty Home Healthcare, Inc. | Current | Accepting new patients |
Locations
3601 W Devon Ave
Ste 302
Chicago, IL 60659
Phone (773) 961-7210
3349 Main St
Skokie, IL 60076
Phone (773) 979-1979
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.
-
- Home Health Agency
- Skokie, IL
- NPI 1801126081
-
- Nursing Care Agency
- Skokie, IL
- NPI 1891462701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1245718600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3349 MAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762432",
"telephone_number": "773-979-1979",
"fax_number": "773-409-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3349 MAIN ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762432",
"telephone_number": "773-979-1979"
}
],
"practiceLocations": [
{
"address_1": "3349 Main St",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600762432",
"country_code": "US",
"telephone_number": "773-979-1979",
"fax_number": "773-409-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULOGO",
"first_name": "CHUKWUDI",
"middle_name": "UZOR",
"credential": "ADMINISTRATOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-29",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271635793001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.