Healthcare Provider Details

I. General information

NPI: 1851683536
Provider Name (Legal Business Name): MARGARET OKODUA DNP, APN, RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4554 N BROADWAY ST STE 325
CHICAGO IL
60640-5621
US

IV. Provider business mailing address

6443 N HOYNE AVE APT 1
CHICAGO IL
60645-5850
US

V. Phone/Fax

Practice location:
  • Phone: 312-685-5243
  • Fax: 312-819-6365
Mailing address:
  • Phone: 312-685-5243
  • Fax: 312-819-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001462
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: