Active NPI
Chika Muoghalu, DNP
- Family Nurse Practitioner
- Matteson, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209033962
- Practice address
- 4801 Southwick Dr Ste 630K
Matteson, IL 60443-2254 - Phone
- (312) 800-0791
- Fax
- (866) 439-2402
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209033962 | IL | Primary |
| Nurse Practitioner | 363L00000X | 209033962 | IL |
Addresses
Primary practice location
4801 Southwick Dr Ste 630K
Matteson, IL 60443-2254
Mailing address
1724 Baybrook LN
Naperville, IL 60564-6173
Phone (630) 404-9720
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 E Devon Ave
Suite 332
Des Plaines, IL 60018-4511
Phone (847) 257-7984
777 Draper Ave
Joliet, IL 60432-1417
Phone (815) 727-4794
8205 Cass Ave
Suite 110B
Darien, IL 60561-5319
Phone (773) 840-4747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N25211669708 | IL | MD | Wound Care Registered Nurse |
| 209033962 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Southtown Medical Group S C | Current | Accepting new patients | |
| Sally Health & Innovative Partners | Current | Accepting new patients | |
| Forever Care Home Visiting Physicians Inc | Current | Accepting new patients |
Locations
8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747
2400 E Devon Ave
Ste 286
Des Plaines, IL 60018
Phone (847) 257-7984
5410 W Main St
#2
Monee, IL 60449
Phone (312) 802-9646
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1851865364
-
- Family Medicine Physician
- Darien, IL
- NPI 1134508997
-
- Family Medicine Physician
- Monee, IL
- NPI 1174346415
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1619852464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 BAYBROOK LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605646173",
"telephone_number": "630-404-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 SOUTHWICK DR STE 630K",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432254",
"telephone_number": "312-800-0791",
"fax_number": "866-439-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUOGHALU",
"first_name": "CHIKA",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209033962",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209033962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.