Look up the most recent NPI and PECOS records

Jude Udagwua

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

31 W Millers Rd, Des Plaines, IL 60016-2844

PECOS Enrollment

Based on the most recent information from CMS, provider Jude Udagwua is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982313318
Provider Type
Individual
Full Name
Udagwua, Jude
Title
Mr.
Credential
FNP-BC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/15/2022
Last Updated
11/15/2022

Contact Information

Practice Location

31 W Millers Rd, Des Plaines, IL 60016-2844

(773) 559-0842

Unlisted Fax

Mailing Location

31 W Millers Rd, Des Plaines, IL 60016-2844

(773) 559-0842

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209026377 Illinois

Jude Udagwua

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mendoza, Rosa Maria

Duff, Paula Ida

Madathil, Jini Xavier

Joseph, Tina

Mack, Susan A

Thomas, Keziah M.

Johnson, Alice

Sizer, Bentley Fisher

Vasquez, Kelly Marie

Patel, Hina