Individual provider Active NPI

Cheryl Agbonghae, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1841836558
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019429 Issued in IL
Practice address
5336 N Western Ave
Chicago, IL 60625-2310
Phone
(872) 231-3162
NPI assigned
Nov 18, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019429 IL Primary

Addresses

Primary practice location

5336 N Western Ave
Chicago, IL 60625-2310

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

5352 N Lincoln Ave
Chicago, IL 60625-2316
Phone (773) 353-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303002930 IL Practitioner - Nurse Practitioner 0042626731 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
FL 4
Chicago, IL 60604-4434
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health SC CurrentSince Feb 1, 2024 Accepting new patients
Cardiac Vision LLC CurrentSince Jun 11, 2021 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Oct 30, 2023 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Oct 30, 2023 Accepting new patients
Great Health Medical Afil, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 20, 2024 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince Feb 20, 2023 Accepting new patients
Lumen Cardiovascular Specialists,LTD CurrentSince Mar 1, 2022 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2450 N Central Ave
Chicago, IL 60639
Phone (773) 889-1333

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

26895 Network Pl
Chicago, IL 60673

4900 N Bernard St
Chicago, IL 60625
Phone (773) 583-7130

5336 N Western Ave
Chicago, IL 60625
Phone (773) 271-5600

735 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 348-4055

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

9300 W Ballard Rd
Des Plaines, IL 60016
Phone (847) 294-2300

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

2000 W Lake St
Hanover Park, IL 60133
Phone (224) 456-6662

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

101 Trowbridge Rd
Neoga, IL 62447
Phone (217) 560-3117

1010 Jorie Blvd
Ste 24
Oak Brook, IL 60523
Phone (630) 573-7777

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367

31 Spencer St
Ste 1501
Brooklyn, NY 11205
Phone (718) 851-3700

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1841836558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252310",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5352 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606252316",
            "country_code": "US",
            "telephone_number": "773-353-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBONGHAE",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.