Active NPI
Rejuvenate Wound Care Inc
- Family Nurse Practitioner
- Joliet, IL
National Provider Identifier
1053219998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- REJUVENATE WOUND CARE INC
- Practice address
- 3515 Sumac Dr
Joliet, IL 60435-9019 - Phone
- (815) 514-6887
- NPI assigned
- Oct 29, 2026
- Last updated
- Oct 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oludayo Ojelade
- Title
- Owner/Authorized Official
- Phone
- (773) 425-4245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3515 Sumac Dr
Joliet, IL 60435-9019
Mailing address
2405 Essington Rd Ste B
Joliet, IL 60435-1204
National Provider Directory
National Provider DirectoryLocations
2405 Essington Rd
Ste B
Joliet, IL 60435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Joliet, IL
- NPI 1245774306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793232000000",
"number": "1053219998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 ESSINGTON RD STE B",
"city": "JOLIET",
"state": "IL",
"postal_code": "604351204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 SUMAC DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604359019",
"telephone_number": "815-514-6887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENATE WOUND CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-29",
"last_updated": "2026-10-29",
"certification_date": "2026-10-29",
"status": "A",
"authorized_official_last_name": "OJELADE",
"authorized_official_first_name": "OLUDAYO",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "773-425-4245"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.