Individual ProviderKenneth ObikiliRegistered NurseNursing Service ProvidersPractice Address941 W Windsor Ave, Chicago, IL 60640-5754(773) 510-6115PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth Obikili does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821390865Provider TypeIndividualFull NameObikili, KennethTitleMr.CredentialREGISTERED NURSEGenderMaleSole ProprietorYesEnumeration Date11/24/2010Last Updated11/24/2010Contact InformationPractice LocationPractice Address941 W Windsor Ave, Chicago, IL 60640-5754Phone(773) 510-6115FaxUnlisted FaxMailing LocationMailing AddressPO Box 408963, Chicago, IL 60640-8963Phone(773) 510-6115FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense041.383413Illinois