Individual provider Active NPI

Nicole Oguike, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720849318
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209028667 Issued in IL
Practice address
4909 W Division St Ste 508
Chicago, IL 60651-3161
Phone
(773) 364-4600
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041444259 IL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209028667 IL Primary

Addresses

Primary practice location

4909 W Division St Ste 508
Chicago, IL 60651-3161

Mailing address

3190 Bennett PL
Aurora, IL 60502-7064
Phone (630) 450-3917

Other practice location 1

2409 W Warren Blvd
Chicago, IL 60612-2115
Phone (312) 733-4475

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
I20240308000666 IL Practitioner - Nurse Practitioner 1951747211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

Practice addresses (Care Compare)

120 W 111TH St
Chicago, IL 60628-4215
Phone (773) 768-5000

4001 W Devon Ave
Suite 300
Chicago, IL 60646-4538
Phone (312) 448-7701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041444259ILMDRegistered Nurse
209028667ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Apr 8, 2024 Accepting new patients
Access Community Health Network CurrentSince Apr 8, 2024 Accepting new patients
Global Wound Care Medical Group CurrentSince Jul 5, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

2409 W Warren Blvd
Chicago, IL 60612
Phone (312) 733-4475

4001 W Devon Ave
Ste 300
Chicago, IL 60646
Phone (312) 448-7701

4909 W Division St
Ste 508
Chicago, IL 60651
Phone (312) 526-2200

Organizations & group practices 5

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1720849318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 BENNETT PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027064",
            "telephone_number": "630-450-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST STE 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513161",
            "telephone_number": "773-364-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 W Warren Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122115",
            "country_code": "US",
            "telephone_number": "312-733-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUIKE",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041444259",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209028667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.