Active NPI
Elisha Idemudia Ikhumhen, PT, DPT, MPH
- Physical Therapist
- Chicago, IL
National Provider Identifier
1306772991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.039905
- Practice address
- 3101 N Greenview Ave
Chicago, IL 60657-3171 - Phone
- (773) 270-1898
- Fax
- (773) 395-1434
- NPI assigned
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.039905 | IL | Primary |
Addresses
Primary practice location
3101 N Greenview Ave
Chicago, IL 60657-3171
Mailing address
3101 N Greenview Ave
Chicago, IL 60657-3171
Phone (773) 270-1898
Other names 1
- Ide Ikhumhen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Wisconsin School of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1320 W Fullerton Ave
Chicago, IL 60614-2129
3930 N 68TH St
Milwaukee, WI 53216-2012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSF PT LLC | Physical Therapist | Current | Accepting new patients |
Locations
3101 N Greenview Ave
Chicago, IL 60657
Phone (773) 270-1898
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1306772991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N GREENVIEW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573171",
"telephone_number": "773-270-1898",
"fax_number": "773-395-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 N GREENVIEW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573171",
"telephone_number": "773-270-1898",
"fax_number": "773-395-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKHUMHEN",
"first_name": "ELISHA",
"middle_name": "IDEMUDIA",
"credential": "PT, DPT, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.039905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IDE",
"last_name": "IKHUMHEN",
"credential": "PT, DPT, MPH",
"code": "2",
"type": "Professional Name"
}
]
}
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 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.