CHIMDIYA CONCILIA OSISIOMA APRN NPI 1205677754

NPI Information

  • NPI: 1205677754
  • Provider Name: CHIMDIYA CONCILIA OSISIOMA, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1815 MEDITERRANEAN DR
    SYCAMORE, IL
    ZIP 60178
  • Phone: (815) 787-9000

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NPI Details

Chimdiya Concilia Osisioma, APRN is a psychiatric/mental health nurse practitioner in Sycamore, IL with 2 years of experience. Chimdiya Concilia Osisioma, APRN NPI is 1205677754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1815 MEDITERRANEAN DR
SYCAMORE, IL
ZIP 60178-299
Phone: (815) 787-9000
Fax: (815) 787-9015

The NPI 1205677754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2024 and was last updated on 11/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health309.022446ILLINOISYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health4022515KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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