NPIMap

Individual provider Active NPI

Eberechukwu O Ibe, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1841258043
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0036107391 Issued in IL
Practice address
1701 W Monterey Ave
Chicago, IL 60643-4257
Phone
(773) 445-0292
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0036107391 IL Primary

Addresses

Primary practice location

1701 W Monterey Ave
Chicago, IL 60643-4257

Mailing address

707 N Walnut LN
Schaumburg, IL 60194-2638
Phone (708) 606-7219

Other identifiers 2

IdentifierTypeStateIssuer
036107391-5MedicaidIL
036107391MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000176 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 5395648406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake County Acute Care LLPGroup PAC ID 5395747281, 17 clinicians
Lake Immediate Care and Clinic S CGroup PAC ID 4183881899, 2 clinicians

Practice addresses (Care Compare)

1445 Hunt Club Rd
Suite 101
Gurnee, IL 60031-5257
Phone (847) 249-2800

150 W Half Day Rd
Buffalo Grove, IL 60089-6591
Phone (847) 215-0000

2 E Rollins Rd
Round Lake Beach, IL 60073-3808
Phone (847) 740-2500

521 Kora LN
Island Lake, IL 60042-9101
Phone (847) 469-6971

6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone (847) 680-0500

6440 Grand Ave
Gurnee, IL 60031-5257
Phone (847) 855-0550

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Family Paramount Hospice LLC Hospice, Naperville, IL, CCN 141732
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0036107391ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Acute Care, LLP Internal Medicine CurrentSince Feb 1, 2007 Accepting new patients
Lake Immediate Care & Clinic S C Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Lake County Acute Care, LLP Internal Medicine CurrentSince Feb 1, 2007 Accepting new patients
Lake County Acute Care, LLP Internal Medicine Current Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients
New Century Physicians of Southern Illinois Inc Past Accepting new patients
Aci Associates SC Internal Medicine PastSince Feb 16, 2006 Accepting new patients
Midway Emergency Physicians, LLC Past Accepting new patients
Crandon Emergency Physicians LLC PastSince Sep 14, 2025 Accepting new patients
Hampton Health and Wellness Past Accepting new patients
Yates Emergency Physicians Past Accepting new patients

Locations

150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000

6440 Grand Ave
Gurnee, IL 60031
Phone (847) 362-2937

521 Kora Ln
Island Lake, IL 60042
Phone (847) 469-6971

2 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 546-5800

6 E Phillip Rd
Vernon Hills, IL 60061
Phone (847) 362-5353

Interoperability endpoints

  • Direct secure messaging: eberechukwu.ibe.2@12052.direct.athenahealth.com
  • Direct secure messaging: eberechukwu.ibe.1@12052.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12052/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1841258043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WALNUT LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942638",
            "telephone_number": "708-606-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "773-445-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBE",
        "first_name": "EBERECHUKWU",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0036107391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107391-5",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107391",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.