Provider Demographics
NPI:1851683536
Name:OKODUA, MARGARET (DNP, APN, RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:OKODUA
Suffix:
Gender:F
Credentials:DNP, APN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 N LINCOLN AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4668
Mailing Address - Country:US
Mailing Address - Phone:312-685-5243
Mailing Address - Fax:
Practice Address - Street 1:5875 N LINCOLN AVE STE 219
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4668
Practice Address - Country:US
Practice Address - Phone:312-685-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily