Active NPI
Uche Olekanma M.D S.C
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036114328
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uchenna Olekanma, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22001745P03 | Other | PLICA | |
| 20014750 | Other | IL | IL PCP |
| 036114328 | Other | IL | PROFESSIONAL LICENCE |
| 1821287871 | Other | IL | NPI NUMBER |
| 5566-0185 | Other | IL | ILLINOIS IBT |
| 14D1075800 | Other | IL | CLIA |
| 036114328 | Medicaid | IL | |
| 11581877 | Other | IL | CAQH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1356309421
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.