ONYEKWELU EDWARD CHIDUME


Address: 17450 S. Halsted Ave, Ste 260, Homewood, IL 60430
Phone: 7087995010

ONYEKWELU EDWARD CHIDUME (NPI# 1295970085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295970085
Entity Type Individual
Full Name ONYEKWELU EDWARD CHIDUME
Practice Address 17450 S. Halsted Ave
Ste 260
Homewood
IL 60430
Mailing Address 5401 S Hyde Park Blvd
#904
Chicago
IL 60615-5829
Practice Telephone 7087995010
Mailing Telephone 7083052730
Enumeration Date 2008-12-08
Last Update Date 2008-12-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 238000213 IL Other Service Providers

Office Location

Street Address 17450 S. HALSTED AVE
STE 260
City HOMEWOOD
State IL
Zip Code 60430

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1518443381 Elizabeth Carol Rodgers Developmental Therapist 2820 Willow Rd, Homewood, IL 60430 2018-07-16
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1528420155 Nathan Patrick Lagacy Counselor 3650 W. 183rd St., Homewood, IL 60430 2016-03-23
1891175725 Quaneta Gates Homeopath 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 2015-06-05
1164817334 Shachi Pandya Family Medicine 18350 Kedzie Ave Ste 101, Homewood, IL 60430 2015-04-03
1790182327 Floss Dental Care LLC Preferred Provider Organization 18650 Dixie Highway, Homewood, IL 60430 2014-11-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013564285 Octavia Elisa Bruce Specialist 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 2019-08-22
1861877409 Invision Optical Specialist 350 Hallman Hl E Ste 81, Homewood, AL 35209-6555 2015-07-24
1508982638 Homewood Naprapathic Pain Management Center, P.C. Specialist 18019 Dixie Hwy Ste 1c, Homewood, IL 60430-3059 2007-03-21
1578577219 Francois Michel Blaudeau Specialist 3401 Independence Dr Ste 221, Homewood, AL 35209-5620 2006-07-28
1073516506 Leslea Ann Shamp Specialist 2204 Lakeshore Dr, Ste 150, Homewood, AL 35209-6729 2005-05-30
1871971929 Aidas Buzelis Specialist 2417 183rd St, Homewood, IL 60430-3134 2015-05-08
1326444795 Fl Performance,llc Specialist 3125 Independence Dr, Suite 300a1, Homewood, AL 35209-4159 2014-11-13
1114345204 James Harrison Brannon Specialist 2010 Brookwood Medical Ctr Dr, Homewood, AL 35209-6804 2014-04-04
1124446794 Donald Morrison IIi Specialist 2010 Medical Center Dr, Perfusion Department, Homewood, AL 35209-6804 2014-04-01
1831377282 Ophthalmic Resources Group, Inc. Specialist 2640 183rd St, Homewood, IL 60430-2914 2008-02-07
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Competitor

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City HOMEWOOD
Zip Code 60430

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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.

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