Chinyere Okoroh, FNP
Individual provider Active NPI Family Nurse Practitioner · Elmhurst, IL
NPI 1700102647 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1700102647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.007787 (IL)
- Practice address
- 977 N Oaklawn Ave
Suite 104
Elmhurst, IL 60126-1045 - Phone
- (630) 832-1775
- Fax
- (630) 832-3078
- NPI assigned
- Apr 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chicagoland Infectious Disease PC
Practice addresses (Care Compare)
430 E 162ND St
Suite 487
South Holland, IL 60473-2258
Phone (708) 880-0559
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100602000290 | IL | Practitioner - Nurse Practitioner | 0345379277 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.007787 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicagoland Infectious Disease PC | Current |
Accepting new patients | |
| Paragon Clinical LLC | Family | Current |
Accepting new patients |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| United Medical Group, SC | Past |
Accepting new patients |
Locations
1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706
977 N Oaklawn Ave
Ste 104
Elmhurst, IL 60126
Phone (960) 832-1775
430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.007787 | IL | Yes |
Addresses
Primary practice location
977 N Oaklawn Ave
Suite 104
Elmhurst, IL 60126-1045
Mailing address
15629 Drexel Ave
Dolton, IL 60419-2751
Phone (708) 261-2166
Other providers in Elmhurst, IL
- Stacey A Obermeyer
- Susan O. Obman
- Daryl Len Oconnor
- Suzanne Oddo
- Caroline Pittman Oetking
- Julissa Olguin
- Alyssa Olson
- Marco Onoroto
- Rovi Dolores Aquino Origenes
- Orsu Diagnostics Inc
All providers in Elmhurst, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.