Individual provider Active NPI

Ebele Okonkwor, CRNA

  • Certified Registered Nurse Anesthetist
  • Waukegan, IL
National Provider Identifier
1922406354
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209012278 Issued in IL
Practice address
1324 N. Sheridan
Waukegan, IL 60085
Phone
(847) 360-3000
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209012278 IL Primary

Addresses

Primary practice location

1324 N. Sheridan
Waukegan, IL 60085

Mailing address

1324 N. Sheridan
Waukegan, IL 60085
Phone (847) 360-3000

Other practice location 1

2650 Ridge Ave.
Dept. of Anesthesiology
Evanston, IL 60201
Phone (847) 570-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806011550 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507170347 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiologists SCGroup PAC ID 4183512080, 152 clinicians
Windy City Anesthesia PCGroup PAC ID 9234033572, 35 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Amsurg Oak Lawn Il Anesthesia LLCGroup PAC ID 1557587029, 7 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3138

21120 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 469-9750

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

9921 Southwest Hwy
Oak Lawn, IL 60453-3754
Phone (708) 425-2552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012278ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Oak Lawn Il Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2022 Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2026 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Oct 1, 2015 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Mar 22, 2023 Accepting new patients
Chicago Area Partners in Anesthesia LLC Past Accepting new patients

Locations

1845 W Army Trail Rd
Addison, IL 60101
Phone (630) 458-8855

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

1338 E 47th St
Chicago, IL 60653
Phone (773) 324-3338

9532 Eagle Way
Chicago, IL 60678

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

900 Rand Rd
Des Plaines, IL 60016
Phone (847) 324-9676

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1922406354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N. SHERIDAN",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-360-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N. SHERIDAN",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-360-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave.",
            "address_2": "Dept. of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60201",
            "country_code": "US",
            "telephone_number": "847-570-2760",
            "fax_number": "847-570-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONKWOR",
        "first_name": "EBELE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209012278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.