{"npi":"1003470295","type":"NPI-1","status":"active","name":{"display":"Dr. Chizitam Ibezim MD","other":[],"first":"CHIZITAM","last":"IBEZIM","credential":"MD"},"specialty":{"primary_taxonomy":"207XS0114X","primary_taxonomy_description":"Adult Reconstructive Orthopaedic Surgery","slug":"adult-reconstructive-orthopedic-surgery","schema_org_specialty":"Surgical","all":[{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"IL","license":"036174858"},{"code":"207XS0114X","description":"Adult Reconstructive Orthopaedic Surgery","primary":true,"state":"IL","license":"036174858"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"IN","license":"01096132A"},{"code":"207XS0114X","description":"Adult Reconstructive Orthopaedic Surgery","primary":false,"state":"IN","license":"01096132A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1611 W HARRISON ST STE 400","city":"CHICAGO","state":"IL","postal_code":"606124861","country_code":"US","phone":"8776326637","fax":"7084095179"},{"purpose":"MAILING","street_1":"PO BOX 735263","city":"CHICAGO","state":"IL","postal_code":"606735263","country_code":"US","phone":"8776326637","fax":"7084095179"}],"license":{"state":"IL","number":"036174858"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250418001308","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"IN","pac_id":"3375068646"},{"enrlmt_id":"I20250514000249","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"IL","pac_id":"3375068646"}]},"enumeration_date":"2019-04-24","last_updated":"2025-07-09","_meta":{"source":"NPPES","snapshot_date":"2025-07-09","doc_url":"https://findmynpi.com/api"}}