Caroline Odior Shodunola

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024060378 Issued in IL

Practice address

595 Anita St # 595a
Des Plaines, IL 60016-2934

Phone

(773) 475-1210

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empri Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
  • NPI 1821955022
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1003646787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ANITA ST # 595A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162934",
            "telephone_number": "773-475-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ANITA ST # 595A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162934",
            "telephone_number": "773-475-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHODUNOLA",
        "first_name": "CAROLINE",
        "middle_name": "ODIOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "2024060378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweta D Sheth
• Anastasiia Shevchenko, DMD
• Shimmer Smile Dentistry LLC
• Kwang Soon Shin
• Parvez Shirazi, MD
• Kelly Short
• Enija Shrestha Shiwakoti, MPH,FNP-BC
• Samon Siddique, BCBA
• Alisa Sieg, LSW
• Signature Pediatrics LLC

• Psychiatric/Mental Health Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.