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MRS. NWADIUTOR O IFEZUE FNP
NPI 1205247244
Nurse Practitioner - Family in Richton Park, IL

Active since May 13, 2014
22621 LAKESHORE DR, RICHTON PARK, IL 60471(708) 945-1712 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2016, Mar 16, 2016 (2 updates tracked since 2016).

About Mrs. Nwadiutor O Ifezue Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NWADIUTOR O IFEZUE FNP (NPI 1205247244) is an individual family provider in Richton Park, Illinois, licensed in Illinois (041290058) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1205247244
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NWADIUTOR O IFEZUECredential: FNP
Location Address22621 LAKESHORE DRRichton Park, IL 60471-1612
Mailing AddressPo Box 806112, Ste 109Chicago, IL 60680-4122 · (773) 933-9300 · Fax (773) 933-9302
Phone(708) 945-1712
Sole ProprietorYes
Enumeration DateMay 13, 2014
Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration
✔ NPI 1205247244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 041290058
22621 LAKESHORE DR, Richton Park, IL 60471
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nwadiutor Ifezue's NPI number?

The NPI number for Nwadiutor Ifezue is 1205247244. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Nwadiutor Ifezue located?

Nwadiutor Ifezue practices at 22621 Lakeshore Dr, Richton Park, IL 60471. The listed phone number is (708) 945-1712.

What is Nwadiutor Ifezue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nwadiutor Ifezue was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.