Clara Akhigbe, MD
Individual provider Active NPI Pediatrics Physician · Chicago, IL
NPI 1346281110 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1346281110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036085642 (IL)
- Practice address
- 6307 S Stewart Ave Ste 313
Chicago, IL 60621-3116 - Phone
- (773) 962-0633
- Fax
- (773) 994-2174
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6307 S Stewart Ave
Suite 313
Chicago, IL 60621-3116
Phone (773) 962-0633
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20140609001600 | IL | Practitioner - Pediatric Medicine |
4183848377 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085642 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara Akhigbe MD SC | General Practice | Current |
Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Clara Akhigbe MD | Past | Accepting new patients | |
| Advocate Health Centers, Inc. | Past | Accepting new patients |
Locations
6307 S Stewart Ave
Ste 313
Chicago, IL 60621
Phone (773) 962-0633
Interoperability endpoints
- cakhigbe@direct-address.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036085642 | IL | Yes |
| General Practice Physician | 208D00000X | 036085642 | IL |
Addresses
Primary practice location
6307 S Stewart Ave Ste 313
Chicago, IL 60621-3116
Mailing address
71 Regent Drive
Oak Brook, IL 60523
Phone (773) 962-0633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085642 | Medicaid | IL | |
| 21623216 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Chicago, IL
- Bryan Akers
- Kayla Egner Akers
- Rachel Akewushola
- Amir Ryan Akhavan
- Sina Akhavan
- Cynthia Salazar Akhigbe
- Ehiwe Akhigbe
- Akhil V Jagadeesh P.C.
- Luai Akhras
- Akhtar MD SC
All providers in Chicago, IL · Pediatrics 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 Mar 16, 2017. 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.