Ufuoma Chinenye Idjesa Sr.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041393914 Issued in IL

Practice address

1010 N Hooker St Ste 301
Chicago, IL 60642-4633

Phone

(312) 943-3600

Fax

(312) 943-3096

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ufuoma Chineneye Idjesa Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Icg Home Health Care

  • Home Health Agency
  • Chicago, IL
  • NPI 1922546050
  NPD (past)
• International Consulting Group, Inc

  • Home Health Agency
  • Chicago, IL
  • NPI 1174897144
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1922542034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W FARWELL AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266900",
            "telephone_number": "847-276-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N HOOKER ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424633",
            "telephone_number": "312-943-3600",
            "fax_number": "312-943-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDJESA",
        "first_name": "UFUOMA",
        "middle_name": "CHINENYE",
        "name_prefix": "Miss",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041393914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UFUOMA",
            "last_name": "IDJESA",
            "middle_name": "CHINENEYE",
            "prefix": "MISS",
            "suffix": "SR.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Idhs Chicago Read MHC
• Idhs Chicago Read MHC
• Idhs Chicago Read MHC
• Idhs-Chicago Read MHC
• Idia Wound & Pain Care LLC
• Alicia Elena Idler Perez, M.D.
• Mary Kaylle Idor
• Folashade Idowu
• Olumuyiwa Idowu, M.D.
• Victoria Idowu

• Home Health Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.