Individual provider Active NPI

Julius Chucks Ajide, CRNA

  • Certified Registered Nurse Anesthetist
  • Highland Park, IL
National Provider Identifier
1487989083
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209007843 Issued in IL
Practice address
1770 1St St
Suite 703
Highland Park, IL 60035-3200
Phone
(847) 433-1539
NPI assigned
Oct 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X WY
Certified Registered Nurse Anesthetist 367500000X 209007843 IL Primary

Addresses

Primary practice location

1770 1St St
Suite 703
Highland Park, IL 60035-3200

Mailing address

161 Providence Dr
Matteson, IL 60443-1396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000311 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092858480 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians
Roseland Community Hospital AssociationGroup PAC ID 8325936644, 9 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300

17901 Governors Hwy
Suite 106
Homewood, IL 60430-1145
Phone (708) 799-3305

45 W 111TH St
Chicago, IL 60628-4200
Phone 77399530003116

Hospital & facility affiliations

  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Northwest Gastroenterologists SC Specialist Current Accepting new patients
Roseland Community Hospital Association CurrentSince Nov 9, 2022 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Specialist CurrentSince Dec 10, 2010 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2015 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Roseland Community Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Nov 9, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jan 1, 2017 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Dec 11, 2021 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2015 Accepting new patients
Superior Anesthesia LLC Past Accepting new patients
Madison Avenue Anesthesia Placement Services Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

12935 Gregory St
Blue Island, IL 60406
Phone (708) 597-2000

7937 S Harlem Ave
Burbank, IL 60459

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

27702 Network Pl
Chicago, IL 60673

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

17901 Governors Hwy
Ste 106
Homewood, IL 60430
Phone (708) 799-3305

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: jajide224515@uchospital.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1487989083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 PROVIDENCE DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 1ST ST",
            "address_2": "SUITE 703",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIDE",
        "first_name": "JULIUS",
        "middle_name": "CHUCKS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.