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NPI Code Detail

MEDICARE: CHILEME U OCHULOR

MEDICARE: CHILEME U OCHULOR
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2025051507MO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner209034560IL

General Provider Information

NPI Number : 1659140275
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHILEME U OCHULOR
Provider Business Mailing Address
First Line : 536 N TAYLOR AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1888
Country : US
Telephone Number : 314-266-8139
Fax Number : 314-783-2085
Provider Business Practice Location Address
First Line : 536 N TAYLOR AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1888
Country : US
Telephone Number : 314-266-8139
Fax Number : 314-783-2085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 02/20/2026

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Directions to “ CHILEME U OCHULOR ” Practice Location

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