Individual provider Active NPI

Chijoke H Onyenwenyi, MD

  • Nephrology Physician
  • Evergreen Park, IL
National Provider Identifier
1285941153
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036-129962 Issued in IL
Practice address
9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Phone
(708) 422-7715
NPI assigned
Sep 13, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036129962 IL
Nephrology Physician 207RN0300X 036-129962 IL Primary

Addresses

Primary practice location

9125 S Pulaski Rd
Evergreen Park, IL 60805-1441

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

16605 107th St
Orland Park, IL 60467-9016
Phone (708) 226-9860

Other practice location 2

4400 W 95th St Ste 112
Oak Lawn, IL 60453-2657
Phone (708) 684-7100

Electronic endpoints 6

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address swnamd@directaddress.net Direct
Direct Messaging Address conyenwenyi276053@direct.myadvocateaurora.org Direct
Direct Messaging Address swnamd@directaddress.net Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address conyenwenyi276053@direct.myadvocateaurora.org Direct

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
I20130321000483 IL Practitioner - NephrologyPractitioner - Internal Medicine 8527203504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Nephrology Associates, S.C.Group PAC ID 1557335460, 13 clinicians

Practice addresses (Care Compare)

100 W 162ND St
Advocate Med GRP S Holland
South Holland, IL 60473-2003
Phone (708) 730-2200

12250 S Cicero Ave
Suite 112
Alsip, IL 60803-2946
Phone (708) 371-5308

16605 S 107TH CT
Orland Park, IL 60467-9016
Phone (708) 422-7715

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

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

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Phone (708) 422-7715

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-129962ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Nephrology Associates, S.C. Nephrology CurrentSince Jul 22, 2015 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Dec 1, 2021 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Dec 1, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 13, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 13, 2023 Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

12250 S Cicero Ave
Ste 112
Alsip, IL 60803
Phone (708) 371-5308

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

29373 Network Pl
Chicago, IL 60673

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

9125 S Pulaski Rd
Evergreen Pk, IL 60805
Phone (708) 422-7715

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

4400 W 95th St
Ste 112
Oak Lawn, IL 60453
Phone (708) 684-7100

16605 107th St
Orland Park, IL 60467
Phone (708) 226-9860

Interoperability endpoints

  • Direct secure messaging: chijoke.onyenwenyi.p21@direct.nani.nextgenshare.com
  • Direct secure messaging: conyenwenyi19566@direct.acumenmd.com

Organizations & group practices 6

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 10

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1285941153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051441",
            "telephone_number": "708-422-7715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16605 107th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604679016",
            "country_code": "US",
            "telephone_number": "708-226-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 W 95th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532657",
            "country_code": "US",
            "telephone_number": "708-684-7100",
            "fax_number": "708-684-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYENWENYI",
        "first_name": "CHIJOKE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036129962",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-129962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9125 S Pulaski Rd",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608051441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swnamd@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16605 107th St",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604679016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "conyenwenyi276053@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9125 S Pulaski Rd",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608051441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swnamd@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9125 S Pulaski Rd",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608051441",
            "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": "4400 W 95th St Ste 112",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "conyenwenyi276053@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4400 W 95th St Ste 112",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.