Rita N Oganwu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036074918 Issued in IL

Practice address

203030 S. Crawford Ave Ste 110
Olympia Fields, IL 60461

Phone

(708) 922-9170

Fax

(708) 922-9180

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1962452193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203030 S. CRAWFORD AVE STE 110",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-922-9170",
            "fax_number": "708-922-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203030 S. CRAWFORD AVE STE 110",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-922-9170",
            "fax_number": "708-922-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANWU",
        "first_name": "RITA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036074918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Noble
• Katlyn Nicole Nordmeyer
• Brandon O'Connor
• Heather Marie O'Keefe, MOT OTR/L
• Darren Leo Ochoa
• Vincent Au Oganwu, DDS
• Adebayo A Ogunsanya, PHARM D.
• Himanshu Ohri, M.D.
• Idayatu Olaoye, R.N., BSN
• Oladimeji Olayinka

• Family Medicine Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.