DR. NNENNA UDENSI (NPI# 1043752991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043752991 |
| Entity Type | Individual |
| Full Name | DR. NNENNA UDENSI |
| Practice Address |
165 N Kenilworth Ave 1b Oak Park IL 60301-1225 |
| Practice Telephone | 2106079818 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| Street Address |
165 N KENILWORTH AVE 1B |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447531 | Annmarie Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 8 Iowa St Apt 3m, Oak Park, IL 60302-2496 | 2020-04-27 |
| 1770119760 | Michael Anthony Fratina | Student in an Organized Health Care Education/Training Program | 519 S Cuyler Ave Apt 2e, Oak Park, IL 60304-1550 | 2020-03-21 |
| 1972133866 | Erin A Flanagan | Student in an Organized Health Care Education/Training Program | 1036 N Lombard Ave, Oak Park, IL 60302-1435 | 2020-01-21 |
| 1538639398 | Joseph Tayani | Student in an Organized Health Care Education/Training Program | 320 Wisconsin Ave Apt 310, Oak Park, IL 60302-3457 | 2018-12-04 |
| 1508398868 | Wykoff Heights Medical Center | Student in an Organized Health Care Education/Training Program | 240 Washington Blvd, 3b, Oak Park, IL 60302-4123 | 2017-03-28 |
| 1003356775 | Ashley Chen | Student in an Organized Health Care Education/Training Program | 5155 Wagner Way, Oak Park, CA 91377-4731 | 2017-03-01 |
| 1811344567 | Rebecca Grace Maddrell | Student in an Organized Health Care Education/Training Program | 1 Erie Court, Suite 6160, Dr. A.l. Burdick Family Medicine Center, Oak Park, IL 60302-2519 | 2016-05-23 |
| 1114380516 | Grant Joseph Turek | Student in an Organized Health Care Education/Training Program | 707 Garfield St, Apt 3, Oak Park, IL 60304-1978 | 2016-04-01 |
| 1952762783 | Sheila Braggs | Student in an Organized Health Care Education/Training Program | 21141 Ridgedale St, Oak Park, MI 48237-2705 | 2016-03-07 |
| 1609260793 | William Warren Phillips | Student in an Organized Health Care Education/Training Program | 351 S Harvey Ave, Apartment 2, Oak Park, IL 60302-3584 | 2015-03-26 |
| Find all providers in OAK PARK | ||||
Please comment or provide details below to improve the information on DR. NNENNA UDENSI.
| 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.