Individual provider Active NPI

Joy Chizoba Nwigwe, APRN,BC

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1609041029
Registry record updated Apr 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.006457 Issued in IL
Practice address
110 E Schiller St Ste 318
Elmhurst, IL 60126-2823
Phone
(630) 832-1775
Fax
(630) 832-3078
NPI assigned
Apr 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.006457 IL Primary

Addresses

Primary practice location

110 E Schiller St Ste 318
Elmhurst, IL 60126-2823

Mailing address

2624 W Adams St # 2
Chicago, IL 60612-2808
Phone (773) 265-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000379 IL Practitioner - Nurse Practitioner 9931270477 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.006457ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Adult Health CurrentSince Jun 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 20, 2023 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

110 E Schiller St
Ste 318
Elmhurst, IL 60126

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209168000000",
    "number": "1609041029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 W ADAMS ST # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122808",
            "telephone_number": "773-265-5988",
            "fax_number": "773-295-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST STE 318",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262823",
            "telephone_number": "630-832-1775",
            "fax_number": "630-832-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWIGWE",
        "first_name": "JOY",
        "middle_name": "CHIZOBA",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-26",
        "last_updated": "2008-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.006457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.