Individual provider Active NPI

Chika Muoghalu, DNP

  • Family Nurse Practitioner
  • Matteson, IL
National Provider Identifier
1619852464
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209033962 Issued in IL
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

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001578 IL Practitioner - Nurse Practitioner 7113405242 Reassigns benefits to 3 organizations

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
Forever Care Home Visiting Physicians IncGroup PAC ID 1850631912, 14 clinicians
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians
New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

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

LicenseStateTypeSpecialty
N25211669708ILMDWound Care Registered Nurse
209033962ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Southtown Medical Group S C CurrentSince Dec 22, 2025 Accepting new patients
Sally Health & Innovative Partners CurrentSince Mar 8, 2026 Accepting new patients
Forever Care Home Visiting Physicians Inc CurrentSince Dec 22, 2025 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.

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

Verify at the official NPI Registry.