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Deactivated NPI 1144083411 Deactivated / Inactive NPI Male Practitioner

Charles Okungbowa

Driver • Oak Lawn, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Okungbowa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2024
NPI Deactivation Date February 13, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Charles Okungbowa was a registered Driver practicing in Oak Lawn, IL. Throughout an active medical career spanning 1 years, Charles Okungbowa provided care at the practice location at 4533 W 101ST PL until profile deactivation on 2024-02-13.

Practice Location & Contact Primary Location

Practice Address

4533 W 101st Pl

Oak Lawn, IL 604534217

Telephone 7736565628

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Oak Lawn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Oak Lawn, IL (286 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-31
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location January 22, 2025

Registered at 4533 W 101ST PL, OAK LAWN, IL 604534217 (Tel: 7736565628)

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Updated Business Mailing Address January 22, 2025

Registered at 4533 W 101ST PL, OAK LAWN, IL 604534217 (Tel: 7736565628)

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Provider Name / Credentials Updated January 22, 2025

Recorded as CHARLES OKUNGBOWA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2025

Driver

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NPI Profile Deactivated February 13, 2024

Record deactivated on February 13, 2024

NPI Profile Active January 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2024

Registered at 4533 W 101ST PL, OAK LAWN, IL 604534217 (Tel: 7736565628)

📍
Updated Business Mailing Address January 31, 2024

Registered at 4533 W 101ST PL, OAK LAWN, IL 604534217 (Tel: 7736565628)

👤
Provider Name / Credentials Updated January 31, 2024

Recorded as CHARLES OKUNGBOWA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2024

Driver

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Initial NPI Registration & Enumeration January 31, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144083411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2024
Last Update: January 22, 2025
Deactivation Date: February 13, 2024
Sole Proprietor: Yes

Mailing Address

4533 W 101st Pl

Oak Lawn, IL 604534217

Phone: 7736565628

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.