MEDICARE: DR. KENECHUKWU OLUFEMI CHUDY-ONWUGAJE M.D.

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	207RG0100X	Gastroenterology Physician	036156635	IL
2	207R00000X	Internal Medicine Physician	D0080835	MD
3	207RG0100X	Gastroenterology Physician	MD469735	PA
4	207R00000X	Internal Medicine Physician	036156635	IL
5	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1861749780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENECHUKWU OLUFEMI CHUDY-ONWUGAJE M.D.

Provider Business Mailing Address
First Line	:	4500 MEMORIAL DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5360
Country	:	US
Telephone Number	:	618-257-6220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 MEMORIAL DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5360
Country	:	US
Telephone Number	:	618-257-6220
Fax Number	:

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

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	01/29/2026

Similar Medicare Providers

1326045568 — KENNETH I BLUESTONE M.D.
Practice Location Address:

4500 MEMORIAL DR
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-4376
Practice Fax: 618-257-5196

1598757031 — DR. DAVID JEFFREY EISENSTEIN MD
Practice Location Address:

4500 MEMORIAL DR , DEPT PATHOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-233-7750
Practice Fax: 314-747-1710

1689651184 — PREMIER INTERNAL MEDICINE LLC
Practice Location Address:

4500 MEMORIAL DR
BELLEVILLE, IL
62226-5360

Practice Phone: 618-476-9399
Practice Fax: 618-476-9547

1245202068 — DR. AMIRA MARY BAHU MD
Practice Location Address:

4500 MEMORIAL DR , DEPT RADIOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-5613
Practice Fax: 314-454-4641

1861440661 — DR. GUILLERMO RODRIGUEZ JR. MD
Practice Location Address:

4500 MEMORIAL DR , DIV MEDICAL ONCOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 800-647-2098
Practice Fax: 314-362-3192

1780638932 — BRIAN L MCELANEY MD
Practice Location Address:

4500 MEMORIAL DR , DEPT RADIOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-9567
Practice Fax:

Directions to “ DR. KENECHUKWU OLUFEMI CHUDY-ONWUGAJE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.