Ugonwa Gloria Izuegbu
Nurse Practitioner (Family)

Address: 3258 W 85th Pl, Chicago, IL 60652-3757
Phone: 4028130789

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).

Provider Overview

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

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 209.019976 IL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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1609478908 Haley Decero Nurse Practitioner 2354 W George St, Chicago, IL 60618-7942 2020-11-11
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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
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Office Location

Street Address 3258 W 85TH PL
City CHICAGO
State IL
Zip Code 60652-3757

Providers in the same zip code

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
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Competitor

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City CHICAGO
Zip Code 60652

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Dataset Information

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.