MEDICARE: CHUKS B AKAEZE

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	363L00000X	Nurse Practitioner	209035196	IL

General Provider Information

NPI Number	:	1275475170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUKS B AKAEZE

Provider Business Mailing Address
First Line	:	1705 E SAUK TRL
Second Line	:
City	:	SAUK VILLAGE
State	:	IL
Zip	:	60411-4955
Country	:	US
Telephone Number	:	708-580-6060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 E SAUK TRL
Second Line	:
City	:	SAUK VILLAGE
State	:	IL
Zip	:	60411-4955
Country	:	US
Telephone Number	:	708-506-3188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ CHUKS B AKAEZE ” Practice Location

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