Healthcare Provider Details

I. General information

NPI: 1215622006
Provider Name (Legal Business Name): JESSICA A AKPABIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 W POLK ST
CHICAGO IL
60612-3723
US

IV. Provider business mailing address

2908 W 40TH ST
CHICAGO IL
60632-1819
US

V. Phone/Fax

Practice location:
  • Phone: 312-864-7311
  • Fax:
Mailing address:
  • Phone: 773-708-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036178998
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125081178
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: