Active NPI
Chinenye Chioma Anako, M.D.,
- General Practice Physician
- Peoria, IL
National Provider Identifier
1922449172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 125064211
- Practice address
- 611 W Glen Ave Apt B
Peoria, IL 61614-4874 - Phone
- (602) 481-2040
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 125064211 | IL | Primary |
Addresses
Primary practice location
611 W Glen Ave Apt B
Peoria, IL 61614-4874
Mailing address
611 N. Glen Ave Unit B
Peoria, IL 61614
Phone (602) 481-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125064211 | IL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1922449172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N. GLEN AVE UNIT B",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "602-481-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W GLEN AVE APT B",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144874",
"telephone_number": "602-481-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAKO",
"first_name": "CHINENYE",
"middle_name": "CHIOMA",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "125064211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.