Individual provider Active NPI

Sebastian Ekesa

  • Driver
  • Chicago, IL
National Provider Identifier
1245748425
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
5321 N Winthrop Ave FL 1
Chicago, IL 60640-2309
Phone
(773) 798-7549
NPI assigned
Jan 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

5321 N Winthrop Ave FL 1
Chicago, IL 60640-2309

Mailing address

5321 N Winthrop Ave FL 1
Chicago, IL 60640-2309
Phone (773) 798-7549

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

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1245748425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 N WINTHROP AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402309",
            "telephone_number": "773-798-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 N WINTHROP AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402309",
            "telephone_number": "773-798-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKESA",
        "first_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.