Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ekene Ezenwa, MD

Individual provider Dermatology Physician · NPI 1689293672

Dr. Ekene Ezenwa, MD is a Dermatology in Chicago, Illinois. Graduated from University of Oklahoma College of Medicine in 2020, 6 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Oklahoma College of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

676 N Saint Clair St Ste 1600
Chicago, IL 60611-2997
Phone: (312) 695-8106
Fax: (312) 695-0537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5841 S Maryland Ave # Mc5067, Chicago, IL 60637-1443 — (773) 702-1611
  • 4502 E 41st St, Tulsa, OK 74135-2536 — (918) 619-4400

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036168500 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 125.077293 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689293672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESOctober 5, 2024
Certification dateOctober 5, 2024
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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