Active NPI
Emeka Eze, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1811920036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-114419
- Practice address
- 2231 E. 95TH Street
Jencare Neighborhood Medical Center South Chicago, LLC
Chicago, IL 60617 - Phone
- (773) 768-7700
- Fax
- (773) 768-7768
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-114419 | IL | Primary |
Addresses
Primary practice location
2231 E. 95TH Street
Jencare Neighborhood Medical Center South Chicago, LLC
Chicago, IL 60617
Mailing address
2231 E. 95TH Street
Jencare Neighborhood Medical Center South Chicago, LLC
Chicago, IL 60617
Phone (773) 768-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114419 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current | Accepting new patients |
Locations
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
Organizations & group practices 1
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1770038671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1811920036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 E. 95TH STREET",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO, LLC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-768-7700",
"fax_number": "773-768-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 E. 95TH STREET",
"address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH CHICAGO, LLC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-768-7700",
"fax_number": "773-768-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZE",
"first_name": "EMEKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-114419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.