NPIMap

Individual provider Active NPI

Queennorah Anigbogu, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1962060566
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019493 Issued in IL
Practice address
2744 W 63Rd St
Chicago, IL 60629-2343
Phone
(773) 434-4626
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 209.019493 IL Primary

Addresses

Primary practice location

2744 W 63Rd St
Chicago, IL 60629-2343

Mailing address

2744 W 63Rd St
Chicago, IL 60629-2343
Phone (773) 434-4626

Other names 1

  • Ms. Queennorah Ohiri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190712001822 IL Practitioner - Nurse Practitioner 0042545022 Reassigns benefits to 2 organizations
I20250906000336 TX Practitioner - Nurse Practitioner 0042545022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019493ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family Current Accepting new patients
Inner-City Muslim Action Network CurrentSince Jun 24, 2019 Accepting new patients
Howard Brown Health Center CurrentSince Aug 24, 2021 Accepting new patients
Inner-City Muslim Action Network CurrentSince Jun 24, 2019 Accepting new patients
Howard Brown Health Center CurrentSince Aug 24, 2021 Accepting new patients
Dallas County Hospital District CurrentSince Jun 28, 2025 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Dallas County Hospital District Family CurrentSince Jun 28, 2025 Accepting new patients
Howard Brown Health Center PastSince Aug 24, 2021 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

2749 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

1525 E 55th St
Ste 201
Chicago, IL 60615

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

2744 W 63rd St
Chicago, IL 60629
Phone (773) 434-4626

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: qanigbogu581246@direct.ochin.org
  • Direct secure messaging: qanigbogu344671@direct.phhs.org

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 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1962060566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292343",
            "telephone_number": "773-434-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292343",
            "telephone_number": "773-434-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIGBOGU",
        "first_name": "QUEENNORAH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUEENNORAH",
            "last_name": "OHIRI",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.