Organization Active NPI

Lifeflow LLC

  • Family Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1467129734
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Dr. Obidike Augustine Nwakudu, MDNPI 1225238504
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL www.lifeflowhealth.com Direct

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.