Organization Active NPI

Uche Olekanma M.D S.C

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1821287871
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036114328 Issued in IL
Legal business name
UCHE OLEKANMA M.D S.C
Practice address
8201 S Ashland Ave
Chicago, IL 60620-4626
Phone
(773) 873-3434
Fax
(773) 873-0208
NPI assigned
Oct 16, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Uchenna Olekanma, M.DNPI 1356309421
Title
President
Phone
(773) 863-5162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036114328 IL Primary

Addresses

Primary practice location

8201 S Ashland Ave
Chicago, IL 60620-4626

Mailing address

8201 S Ashland Ave
Chicago, IL 60620-4626
Phone (773) 873-3434

Other identifiers 8

IdentifierTypeStateIssuer
22001745P03OtherPLICA
20014750OtherILIL PCP
036114328OtherILPROFESSIONAL LICENCE
1821287871OtherILNPI NUMBER
5566-0185OtherILILLINOIS IBT
14D1075800OtherILCLIA
036114328MedicaidIL
11581877OtherILCAQH

National Provider Directory

National Provider Directory

Locations

8201 S Ashland Ave
Chicago, IL 60620
Phone (773) 873-3434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821287871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204626",
            "telephone_number": "773-873-3434",
            "fax_number": "773-873-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204626",
            "telephone_number": "773-873-3434",
            "fax_number": "773-873-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCHE OLEKANMA M.D S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OLEKANMA",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-863-5162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLICA",
            "identifier": "22001745P03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PCP",
            "identifier": "20014750",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENCE",
            "identifier": "036114328",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1821287871",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS IBT",
            "identifier": "5566-0185",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1075800",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114328",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11581877",
            "state": "IL"
        }
    ],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.