Michael Ubaghara

Primary specialty

DriverTaxonomy code 172A00000X

License

U12654362296 Issued in IL

Practice address

555 S Schuyler Ave Ste 235
Kankakee, IL 60901-5178

Phone

(312) 405-5670

Fax

(219) 306-8090

NPI assigned

Oct 1, 2014

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gifted Hands Home Healthcare Inc.

  • In Home Supportive Care Agency
  • Matteson, IL
  • NPI 1174867790
  NPD Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1568865772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S SCHUYLER AVE STE 235",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015178",
            "telephone_number": "815-401-6666",
            "fax_number": "815-614-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S SCHUYLER AVE STE 235",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015178",
            "telephone_number": "312-405-5670",
            "fax_number": "219-306-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBAGHARA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "U12654362296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Leneil Troupe, PHARMD
• Eunice Troupe, MS, RDN, LDN
• Eleni Tselos
• Malaya Abrigo Tuazon, M.D.
• Stephen Tulley, DO
• Ngozi V Ubaghara, APRN
• Israr Ul Haq, M.D.
• United Developmental Services
• Urological Surgeons of Illinois, LTD
• Samantha Utter

• Driver in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.