Individual provider Active NPI

Temitope Abiola Fasoyiro, RN

  • Registered Nurse
  • Northbrook, IL
National Provider Identifier
1053027904
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041478775 Issued in IL
Practice address
1363 Shermer Rd
Northbrook, IL 60062-4553
Phone
(224) 234-9410
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041478775 IL Primary

Addresses

Primary practice location

1363 Shermer Rd
Northbrook, IL 60062-4553

Mailing address

856 Woodlawn Ave
Des Plaines, IL 60016-3234
Phone (224) 234-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041478775ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Topxperts Health and Care Solutions LLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

1363 Shermer Rd
Northbrook, IL 60062
Phone (224) 234-9410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1053027904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 WOODLAWN AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163234",
            "telephone_number": "224-234-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624553",
            "telephone_number": "224-234-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASOYIRO",
        "first_name": "TEMITOPE",
        "middle_name": "ABIOLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041478775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.