MEDICARE: CHINDIKA HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1144887738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHINDIKA HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 806112
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60680-4122
Country	:	US
Telephone Number	:	312-489-0103
Fax Number	:	872-266-0204

Provider Business Practice Location Address
First Line	:	1750 E 87TH ST STE 109
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2706
Country	:	US
Telephone Number	:	312-489-0103
Fax Number	:	872-266-0204

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/CEO
Name	:	DR. OTUONYE EZERIBE ONYEWUCHI
Credential	:	MD
Telephone Number	:	312-489-0103

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	01/15/2026

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