Active NPI
Lifeflow LLC
- Family Medicine Physician
- Oak Brook, IL
National Provider Identifier
1467129734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIFEFLOW LLC
- Practice address
- 1415 W 22ND Street
Tower Floor
Oak Brook, IL 60523-6052 - Phone
- (630) 447-9359
- NPI assigned
- Aug 25, 2021
- Last updated
- Aug 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Obidike Augustine Nwakudu, MD
- Title
- President
- Phone
- (630) 701-0998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1415 W 22ND Street
Tower Floor
Oak Brook, IL 60523-6052
Mailing address
PO Box 3335
Oak Brook, IL 60522-3335
Phone (630) 701-0998
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.lifeflowhealth.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Emergency Medicine Physician
- Oak Brook, IL
- NPI 1225238504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1467129734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3335",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605223335",
"telephone_number": "630-701-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W 22ND STREET",
"address_2": "TOWER FLOOR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605236052",
"telephone_number": "630-447-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEFLOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "NWAKUDU",
"authorized_official_first_name": "OBIDIKE",
"authorized_official_middle_name": "AUGUSTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-701-0998",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.lifeflowhealth.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Practice website",
"address_1": "1415 W 22nd Street",
"address_2": "Tower Floor",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605236052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.