Active NPI
Princewill Onwenu
- Dentist
- Chicago, IL
National Provider Identifier
1265324677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019036266
- Practice address
- 2511 N Milwaukee Ave
Chicago, IL 60647-3883 - Phone
- (773) 772-5555
- NPI assigned
- Jul 18, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019036266 | IL | Primary |
Addresses
Primary practice location
2511 N Milwaukee Ave
Chicago, IL 60647-3883
Mailing address
641 W Wayman St Unit D
Chicago, IL 60661-1021
Phone (248) 732-9904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019036266 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Family Dental of Logan Square | Dentist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Chicago, IL
- NPI 1629252762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1265324677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 W WAYMAN ST UNIT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611021",
"telephone_number": "248-732-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473883",
"telephone_number": "773-772-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONWENU",
"first_name": "PRINCEWILL",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019036266",
"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 Jul 18, 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.