Individual provider Active NPI

Julia Ifeoma Egbuna

  • Family Nurse Practitioner
  • South Holland, IL
National Provider Identifier
1306647839
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28214667A Issued in IN
Practice address
16949 Parkside Ave
South Holland, IL 60473-2945
Phone
(708) 441-9532
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 28214667A IN Primary

Addresses

Primary practice location

16949 Parkside Ave
South Holland, IL 60473-2945

Mailing address

16949 Parkside Ave
South Holland, IL 60473-2945
Phone (708) 441-9532

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
I20260414001348 IL Practitioner - Nurse Practitioner 4183190580 Reassigns benefits to 2 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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28214667AINMDFamily Nurse Practitioner

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1306647839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16949 PARKSIDE AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732945",
            "telephone_number": "708-441-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16949 PARKSIDE AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732945",
            "telephone_number": "708-441-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUNA",
        "first_name": "JULIA",
        "middle_name": "IFEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28214667A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.