Active NPI
Dexter E Nwachukwu, DO
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1295475515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Ui Health, Graduate Medical Education Office
820 South Wood Street Suite 100, MC 675
Chicago, IL 60612 - Phone
- (312) 996-2933
- NPI assigned
- Apr 1, 2022
- Last updated
- Jun 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Hospitalist Physician | 208M00000X | 036179626 | IL |
Addresses
Primary practice location
Ui Health, Graduate Medical Education Office
820 South Wood Street Suite 100, MC 675
Chicago, IL 60612
Mailing address
820 S Wood St Ste 100
Chicago, IL 60612-4325
Phone (312) 996-2933
Other practice location 1
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616002516 | IL | Order and Referring Only - Internal Medicine | 9032598370 |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
5777 Dept
Carol Stream, IL 60122-0021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- dnwachukwu135919@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1295475515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S WOOD ST STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "312-996-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UI HEALTH, GRADUATE MEDICAL EDUCATION OFFICE",
"address_2": "820 SOUTH WOOD STREET SUITE 100, MC 675",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-2933"
}
],
"practiceLocations": [
{
"address_1": "1000 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451658",
"country_code": "US",
"telephone_number": "847-234-5600",
"fax_number": "847-535-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWACHUKWU",
"first_name": "DEXTER",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036179626",
"primary": false
}
],
"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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.