Organization Active NPI

Okwuje Medical Services SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1477741304
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036053172 Issued in IL
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

Updated by the provider on May 23, 2024

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.