Ukpenahiusi S Ighodaro, P.T.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

070.009441 Issued in IL

Practice address

231 W Main St Ste 101
Carpentersville, IL 60110-1772

Phone

(847) 428-1515

Fax

(847) 428-0024

NPI assigned

Jan 23, 2008

Last updated

Oct 23, 2015By 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)

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.

• Advanced Medical & Wellness of Spring Hill, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carpentersville, IL
  • NPI 1366408387
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1639356488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE 313",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "630-692-5208",
            "fax_number": "630-499-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W MAIN ST STE 101",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601101772",
            "telephone_number": "847-428-1515",
            "fax_number": "847-428-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGHODARO",
        "first_name": "UKPENAHIUSI",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IL",
            "license": "070.009441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanne M Hoolsema
• Ashley Horn
• Daniel P. Horn, D.C.
• Peter J. Horn, D.C.
• Vince Iadarola, DC
• Inroads Counseling and Dui Center, Inc.
• Insight Echo Inc.
• J.R. Patel DMD PC (Smiles on Randall)
• Sonia Jaime, LCSW
• Jenuine Healthcare

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Carpentersville, IL
• Providers in Carpentersville, IL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.