MEDICARE: MARGARET OKODUA DNP, APN, RN, 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	363LF0000X	Family Nurse Practitioner	377001428	IL
2	363LF0000X	Family Nurse Practitioner	277001462	IL

General Provider Information

NPI Number	:	1851683536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET OKODUA DNP, APN, RN, FNP-BC

Provider Business Mailing Address
First Line	:	6443 N HOYNE AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5850
Country	:	US
Telephone Number	:	312-685-5243
Fax Number	:	312-819-6365

Provider Business Practice Location Address
First Line	:	4554 N BROADWAY ST STE 325
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5621
Country	:	US
Telephone Number	:	312-685-5243
Fax Number	:	312-819-6365

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

Provider Enumeration Date	:	05/12/2011
Last Update Date	:	12/15/2025

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