Active NPI
Okwuje Medical Services SC
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1477741304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036053172
- Legal business name
- OKWUJE MEDICAL SERVICES SC
- Practice address
- 45 W 111TH St
Chicago, IL 60628-4200 - Phone
- (773) 550-5187
- NPI assigned
- Oct 4, 2007
- 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
- Mr. Orville C Rose
- Title
- Executive Director
- Phone
- (904) 503-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036053172 | IL | Primary |
Addresses
Primary practice location
45 W 111TH St
Chicago, IL 60628-4200
Mailing address
PO Box 26975
Jacksonville, FL 32226-6975
Phone (904) 503-1132
National Provider Directory
National Provider DirectoryLocations
1750 E 87th St
Ste 107
Chicago, IL 60617
Phone (773) 550-5187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1912958778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1477741304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26975",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322266975",
"telephone_number": "904-503-1132",
"fax_number": "888-886-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W 111TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284200",
"telephone_number": "773-550-5187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKWUJE MEDICAL SERVICES SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "ORVILLE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "904-503-1132",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036053172",
"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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.