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OLUCHUKWU OKONKWO MD
NPI 1487269478
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since September 15, 2020PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-4242 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2020, Sep 15, 2020 (2 updates tracked since 2020).

About Oluchukwu Okonkwo Md NPPES

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

OLUCHUKWU OKONKWO MD (NPI 1487269478) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487269478
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLUCHUKWU OKONKWOCredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-1359
Mailing Address1301 W Jefferson St Apt 29eMorton, IL 61550-1359 · (929) 373-2960
Phone(309) 655-4242
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1487269478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluchukwu Okonkwo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710

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 Oluchukwu Okonkwo's NPI number?

The NPI number for Oluchukwu Okonkwo is 1487269478. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Oluchukwu Okonkwo located?

Oluchukwu Okonkwo practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-4242.

What is Oluchukwu Okonkwo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oluchukwu Okonkwo enrolled in Medicare?

Yes. Oluchukwu Okonkwo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluchukwu Okonkwo was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.