Healthcare Provider Details

I. General information

NPI: 1376474304
Provider Name (Legal Business Name): OBOLLO MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 E 33RD PL
STEGER IL
60475-1181
US

IV. Provider business mailing address

396 WATERFORD LN
BEECHER IL
60401-3445
US

V. Phone/Fax

Practice location:
  • Phone: 312-834-9686
  • Fax:
Mailing address:
  • Phone: 312-834-9686
  • Fax: 312-815-1725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: UCHECHUKWU NELSON OKOROIGWE
Title or Position: OWNER / NURSE PRACTITIONER
Credential: FNP - BC
Phone: 312-834-9686