Chinwendu Adaobi Ileka, MD
Individual provider Active NPI Internal Medicine Physician · Chicago, IL
NPI 1306332895 · NPPES record last updated Jul 8, 2018
Key facts
- NPI
- 1306332895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.071828 (IL)
- Practice address
- 4646 N Marine Dr
Chicago, IL 60640-5759 - Phone
- (312) 383-9465
- Fax
- (773) 564-5226
- NPI assigned
- Jul 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deming Hospital Corporation
Practice addresses (Care Compare)
905 S 8TH St
Deming, NM 88030-4037
Phone (575) 543-7200
Hospital & facility affiliations
- Enhabit Home Health
- Amercare Home Health Care Corporation
- Mimbres Valley Medical Center
- Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210614002981 | NM | Practitioner - Internal Medicine | 9638581754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.071828 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deming Hospital Corporation | Family Medicine | Current |
Accepting new patients |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Deming Hospital Corporation | Past | Accepting new patients |
Locations
905 S 8th St
Ste B
Deming, NM 88030
Phone (575) 543-7200
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
Interoperability endpoints
- cileka@yourcarecommunity.org
- chinwendu.ileka.1@1596.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.071828 | IL | Yes |
Addresses
Primary practice location
4646 N Marine Dr
Chicago, IL 60640-5759
Mailing address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone (312) 383-9465
Other providers in Chicago, IL
- Il Sprout MC 1 LLC
- Ilahi Family Medicine
- Ilahi Medicine of Illinois, LLC
- Ile Enterprises LLC
- Julia J Ilecki
- Ayodeji Israel Ilelaboye
- Ilera Home Care LLC
- Nadia Hallaj Ilhardt
- Ilie Pavel PC
- Ionut Ilie
All providers in Chicago, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.