Individual provider Active NPI

Melinda Chidinma Okanu

  • Family Nurse Practitioner
  • Lansing, IL
National Provider Identifier
1265211635
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028320 Issued in IL
Practice address
18225 Burnham Ave Ste 10
Lansing, IL 60438-3079
Phone
(708) 296-8875
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 209028320 IL Primary

Addresses

Primary practice location

18225 Burnham Ave Ste 10
Lansing, IL 60438-3079

Mailing address

18225 Burnham Ave Ste 10
Lansing, IL 60438-3079
Phone (708) 296-8875

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
I20231025001529 IL Practitioner - Nurse Practitioner 9335595487 Reassigns benefits to 4 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
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Livestrong Medical PLLCGroup PAC ID 3476082850, 14 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

9019 Willow LN
Mokena, IL 60448-8374
Phone (708) 691-4890

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 23, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 26, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 26, 2023 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations (25 of 29)

1 Tiffany Pt
Ste 106
Bloomingdale, IL 60108
Phone (224) 653-9507

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

7601 S Cicero Ave
Ste P9A
Chicago, IL 60652
Phone (708) 907-4355

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

3626 N Sheridan Rd
Peoria, IL 61604

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

10408 N Centerway Dr
Ste C
Peoria, IL 61615

5209 W War Memorial Dr
Peoria, IL 61615

5905 N Prospect Rd
Peoria, IL 61614

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1265211635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 BURNHAM AVE STE 10",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383079",
            "telephone_number": "708-296-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 BURNHAM AVE STE 10",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383079",
            "telephone_number": "708-296-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKANU",
        "first_name": "MELINDA",
        "middle_name": "CHIDINMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.