DR. IKENNA CHIKEZIRI OKPAREKE (NPI# 1912218009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912218009 |
Entity Type | Individual |
Full Name | DR. IKENNA CHIKEZIRI OKPAREKE |
Credential | M.D. |
Practice Address |
301 Madison St Suite 305 Joliet IL 60435-6549 |
Mailing Address |
19627 La Grange Rd Mokena IL 60448-9360 |
Practice Telephone | 8157290450 |
Practice Fax Number | 8157290459 |
Mailing Telephone | 8157290450 |
Mailing Fax Number | 8157290459 |
Enumeration Date | 2010-06-23 |
Last Update Date | 2014-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 125.054301 | IL | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036-127377 | IL | Allopathic & Osteopathic Physicians |
Street Address |
301 MADISON ST SUITE 305 |
City | JOLIET |
State | IL |
Zip Code | 60435-6549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477511863 | Woo Chan Kim | Anesthesiology | 301 Madison St, Joliet, IL 60435-6557 | 2006-05-03 |
1194355685 | Jerry Shelby | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2020-01-23 |
1982246229 | Jennifer Thompson | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2019-10-08 |
1073067583 | Annette Bennett-otto | Nurse Practitioner | 301 Madison St, Joliet, IL 60435-6549 | 2016-08-12 |
1891140554 | Eleanor Harward | Physician Assistant | 301 Madison St, Suite 280, Joliet, IL 60435-6549 | 2016-05-02 |
1477918613 | Sheryl Burcenski | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435-6549 | 2015-12-15 |
1356716989 | Kelly Morris | Nurse Practitioner | 301 Madison St, Suite 300, Joliet, IL 60435 | 2015-12-08 |
1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
1467859454 | Amanda Rae Benjamin | Nurse Practitioner | 301 Madison St, #300, Joliet, IL 60435-6549 | 2014-11-19 |
1568861094 | Laurel K. Alexander | Registered Nurse | 301 Madison St, Suite 207, Joliet, IL 60435-6549 | 2014-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
Find all providers in zip 60435 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295365005 | Interventional Pain Consultants LLC | Pain Medicine | 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 | 2020-01-21 |
1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
1598033953 | Manuel P. Blas | Pain Medicine | 1103 Berkley Ln, Lemont, IL 60439-8940 | 2011-12-13 |
1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
1295811479 | Illinois Pain Treatment Institute, Ltd | Pain Medicine | 431 Summit, Elgin, IL 60120 | 2006-10-31 |
1164519005 | Wayne David Kelly | Pain Medicine | 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 | 2006-10-10 |
1417060146 | Ramesh Bathina | Pain Medicine | 1315 N Highland Ave # 105, Aurora, IL 60506-1400 | 2006-08-16 |
1457375115 | Terri L Dallas-prunskis | Pain Medicine | 4309 Medical Center Dr, B103, Mchenry, IL 60050 | 2006-07-26 |
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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.