| Ikechukwu Okechukwu, | |
|
101 N Marion St Ste 203, Oak Park, IL 60301-1023 | |
| (312) 847-7916 | |
| Not Available |
| Full Name | Ikechukwu Okechukwu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 N Marion St Ste 203, Oak Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649786138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277004078 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5598 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine Wounds Llc | 0840726212 | 6 |
| Instavaxx Llc | 7911305586 | 4 |
| Entity Name | Instavaxx LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134793771 PECOS PAC ID: 7911305586 Enrollment ID: O20211012002188 |
| Entity Name | Sunshine Wounds LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831917368 PECOS PAC ID: 0840726212 Enrollment ID: O20241209002302 |
| Entity Name | Radial Wound PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740009042 PECOS PAC ID: 4082140918 Enrollment ID: O20241216000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Ikechukwu Okechukwu, 101 N Marion St Ste 203, Oak Park, IL 60301-1023 Ph: (312) 847-7916 | Ikechukwu Okechukwu, 101 N Marion St Ste 203, Oak Park, IL 60301-1023 Ph: (312) 847-7916 |
Karen Ann B Denkov, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-1476 |
Travis A. Tirpak, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-763-6747 |
Lauren Marion, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St Ste 619, Oak Park, IL 60301 Phone: 708-524-1400 |
Richard Henry Logan, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Lake St Ste 110, Oak Park, IL 60301 Phone: 331-529-7413 Fax: 877-428-7891 |
Jenna Pederson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3 Erie Ct Ste 1300, Oak Park, IL 60302 Phone: 708-406-3929 Fax: 708-406-3935 |
Brandy J Hatcher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 S Maple Ave Ste 5900, Oak Park, IL 60304 Phone: 708-660-5400 Fax: 708-660-5401 |
Dr. Rachel H Prokopf, DNP, APRN, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 S Maple Ave Ste 5500, Oak Park, IL 60304 Phone: 708-660-5400 |