Individual provider Active NPI

Ikechukwu Okechukwu

  • Family Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1649786138
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004078 Issued in IL
Practice address
101 N Marion St Ste 203
Oak Park, IL 60301-1023
Phone
(312) 847-7916
NPI assigned
Dec 19, 2017
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 277004078 IL Primary
Family Nurse Practitioner 363LF0000X 5598 MN

Addresses

Primary practice location

101 N Marion St Ste 203
Oak Park, IL 60301-1023

Mailing address

101 N Marion St Ste 203
Oak Park, IL 60301-1023
Phone (312) 847-7916

Other practice location 1

1577 Legacy Pkwy E Unit 2
Maplewood, MN 55109-5416
Phone (651) 302-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180201002011 MN Practitioner - Nurse Practitioner 8426318965
I20250210001772 IL Practitioner - Nurse Practitioner 8426318965 Reassigns benefits to 3 organizations
I20250212000945 WI Practitioner - Nurse Practitioner 8426318965

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Wounds LLCGroup PAC ID 0840726212, 6 clinicians
Instavaxx LLCGroup PAC ID 7911305586, 4 clinicians

Practice addresses (Care Compare)

3000 N Halsted St
Suite 600
Chicago, IL 60657-9269
Phone (708) 237-9535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277004078ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Instavaxx LLC CurrentSince Sep 1, 2025 Accepting new patients
Radial Wound PLLC CurrentSince Apr 16, 2025 Accepting new patients
Sunshine Wounds LLC CurrentSince May 1, 2025 Accepting new patients
Affection Wound Care CurrentSince Sep 2, 2026 Accepting new patients

Locations

2674 N Halsted St
Chicago, IL 60614
Phone (773) 694-3729

2833 N Nordica Ave
Chicago, IL 60634
Phone (773) 622-6144

3000 N Halsted St
Ste 600
Chicago, IL 60657
Phone (708) 237-9535

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

1212 S 2nd St
DeKalb, IL 60115
Phone (815) 758-8151

3298 Resource Pkwy
DeKalb, IL 60115
Phone (815) 748-7076

134 N McLean Blvd
Elgin, IL 60123
Phone (773) 463-5383

101 N Marion St
Ste 203
Oak Park, IL 60301
Phone (312) 714-3133

850 Dunham Rd
St Charles, IL 60174
Phone (630) 443-4400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1649786138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MARION ST STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011023",
            "telephone_number": "312-847-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MARION ST STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011023",
            "telephone_number": "312-847-7916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1577 Legacy Pkwy E Unit 2",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095416",
            "country_code": "US",
            "telephone_number": "651-302-6715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKECHUKWU",
        "first_name": "IKECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004078",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.