MEDICARE: MRS. ASHLEY OKOROIGWE FNP-BC

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	277.005431	IL
2	363L00000X	Nurse Practitioner	209.027347	IL

General Provider Information

NPI Number	:	1447949854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY OKOROIGWE FNP-BC

Provider Business Mailing Address
First Line	:	396 WATERFORD LN
Second Line	:
City	:	BEECHER
State	:	IL
Zip	:	60401-3445
Country	:	US
Telephone Number	:	708-510-7627
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 E 33RD PL
Second Line	:
City	:	STEGER
State	:	IL
Zip	:	60475-1181
Country	:	US
Telephone Number	:	708-885-9899
Fax Number	:

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

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	04/04/2026

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