Individual provider Active NPI

Catherine B Nwileh-Ibeagha

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740873074
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019950 Issued in IL
Practice address
1725 W Harrison St
Chicago, IL 60612-3841
Phone
(312) 404-2675
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149019950 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Chicago, IL 60612-3841

Mailing address

2846 W Wilson Ave
Chicago, IL 60625-3743
Phone (312) 404-2675

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL rush.edu Health Information Exchange (HIE)
CONNECT URL www.rush.edu Other
CONNECT URL rush.edu Health Information Exchange (HIE)
CONNECT URL rush.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149019950ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Nov 15, 2024 Accepting new patients
Rush University Medical Group CurrentSince Nov 15, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

Organizations & group practices 2

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1740873074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253743",
            "telephone_number": "312-404-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-404-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWILEH-IBEAGHA",
        "first_name": "CATHERINE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rush.edu",
            "affiliation": "N",
            "endpointDescription": "uRL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2846 W Wilson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rush.edu",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "home",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2846 W Wilson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rush.edu",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2846 W Wilson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rush.edu",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2846 W Wilson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.