Healthcare Provider Details

I. General information

NPI: 1972975480
Provider Name (Legal Business Name): JOAN OKOJIE FNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 ROBIN DR
CAROL STREAM IL
60188-4834
US

IV. Provider business mailing address

1299 ROBIN DR
CAROL STREAM IL
60188-4834
US

V. Phone/Fax

Practice location:
  • Phone: 312-731-9221
  • Fax:
Mailing address:
  • Phone: 312-731-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number041382603
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277002026
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: