Ugonwa Gloria Izuegbu (NPI# 1750903159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1750903159 |
| Entity Type | Individual |
| Full Name | Ugonwa Gloria Izuegbu |
| Gender | Female |
| Practice Address |
3258 W 85th Pl Chicago IL 60652-3757 |
| Practice Telephone | 4028130789 |
| Mailing Address |
3258 W 85th Pl Chicago IL 60652-3757 |
| Mailing Telephone | 4028130789 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Nurse Practitioner · Family | Physician Assistants & Advanced Practice Nursing Providers | 209.019976 | IL |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164028296 | Miteku Tezera Desalgne | Nurse Practitioner | 1412 W Sherwin Ave Unit B, Chicago, IL 60626-2294 | 2020-12-04 |
| 1265036164 | Debbie Chagoya | Nurse Practitioner | 5133 W Wilson Ave, Chicago, IL 60630-3905 | 2020-11-23 |
| 1003418138 | Megan Deedrich | Nurse Practitioner | 849 N Franklin St Unit 511, Chicago, IL 60610-8474 | 2020-11-13 |
| 1609478908 | Haley Decero | Nurse Practitioner | 2354 W George St, Chicago, IL 60618-7942 | 2020-11-11 |
| 1053913566 | Natalija Tosanic | Nurse Practitioner | 5010 N Mango Ave, Chicago, IL 60630-4609 | 2020-11-10 |
| 1649872367 | Habtamu Tamiru Abebe | Nurse Practitioner | 1337 W Fargo Ave Apt 401, Chicago, IL 60626-1854 | 2020-11-09 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| Find all providers in CHICAGO | ||||
| Street Address |
3258 W 85TH PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.