Individual provider Active NPI

Ndiya Nena Kalu Usim

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1366341059
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2147 W Evergreen Ave Unit 102
Chicago, IL 60622-8828
Phone
(562) 292-3223
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL Primary

Addresses

Primary practice location

2147 W Evergreen Ave Unit 102
Chicago, IL 60622-8828

Mailing address

2147 W Evergreen Ave Unit 102
Chicago, IL 60622-8828
Phone (562) 292-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1366341059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 W EVERGREEN AVE UNIT 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228828",
            "telephone_number": "562-292-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 W EVERGREEN AVE UNIT 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228828",
            "telephone_number": "562-292-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USIM",
        "first_name": "NDIYA",
        "middle_name": "NENA KALU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.