Clara Akhigbe MD SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

042617575 Issued in IL

Legal business name

CLARA AKHIGBE MD SC

Practice address

6307 S Stewart Ave Ste 313
Chicago, IL 60621-3116

Phone

(773) 962-0633

Fax

(773) 994-2174

NPI assigned

Nov 18, 2011

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clara Akhigbe, MDNPI 1346281110

Title

Pediatrician

Phone

(773) 962-0633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Clara Akhigbe MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clara Akhigbe MD

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1013285477
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clara Akhigbe, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1346281110

  General Practice

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1407123433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-962-0633",
            "fax_number": "773-994-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-962-0633",
            "fax_number": "773-994-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA AKHIGBE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "AKHIGBE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "773-962-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "042617575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042617575",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Marie Clapman, ANP
• Karen Clapp, APN
• William D Clapp, MD
• Steven A Clar, MD
• Clara Akhigbe MD
• Casey Erin Clardy, PHD, MDIV
• Christopher Clardy
• Clare Charles LCSW
• Clare Propco LLC (Terraces at the Clare)
• Marisa Clare, PT

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.