Individual provider Active NPI

Dorothy E Umenze

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1376007922
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018634 Issued in IL
Practice address
4059 S Calumet Ave
Chicago, IL 60653-2249
Phone
(773) 653-5735
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 209018634 IL Primary

Addresses

Primary practice location

4059 S Calumet Ave
Chicago, IL 60653-2249

Mailing address

4059 S Calumet Ave
Chicago, IL 60653-2249
Phone (773) 653-5735

Other names 1

  • Dorathy E Arhebun Other name

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
I20200212001992 IL Practitioner - Nurse Practitioner 0547696494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calling Care Services Inc. CurrentSince Mar 1, 2022 Accepting new patients
Calling Care Services Inc CurrentSince Mar 1, 2022 Accepting new patients
Calling Care Services Inc. Current Accepting new patients
Physicians Medical Services, LTD. CurrentSince Jan 1, 2020 Accepting new patients

Locations

6303 N Clark St
Chicago, IL 60660
Phone (773) 270-1652

3306 W 63rd St
Chicago, IL 60629
Phone (773) 424-8109

1010 W 95th St
Chicago, IL 60643
Phone (312) 519-9009

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1376007922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 S CALUMET AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532249",
            "telephone_number": "773-653-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 S CALUMET AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532249",
            "telephone_number": "773-653-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMENZE",
        "first_name": "DOROTHY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORATHY",
            "last_name": "ARHEBUN",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.