Active NPI
Okechukwu Nwankwo, APP
- Nurse Practitioner
- Cicero, IL
National Provider Identifier
1982514865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.036422
- Practice address
- 6039 W Cermak Rd
Cicero, IL 60804-2021 - Phone
- (708) 887-7502
- Fax
- (708) 469-6445
- NPI assigned
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.036422 | IL | Primary |
Addresses
Primary practice location
6039 W Cermak Rd
Cicero, IL 60804-2021
Mailing address
14412 W Rathfarn Dr
Homer Glen, IL 60491-9400
Phone (773) 867-9209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1982514865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14412 W RATHFARN DR",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919400",
"telephone_number": "773-867-9209",
"fax_number": "708-469-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042021",
"telephone_number": "708-887-7502",
"fax_number": "708-469-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANKWO",
"first_name": "OKECHUKWU",
"credential": "APP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.036422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.