Individual provider Active NPI

Abiodun Josephine Atomori

  • Adult Health Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1063071819
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.002157 Issued in IL
Practice address
10522 S Cicero Ave Ste 301D
Oak Lawn, IL 60453-5200
Phone
(773) 449-0400
Fax
(773) 688-0339
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.002157 IL Primary
Adult Health Nurse Practitioner 363LA2200X 209.019136 IL

Addresses

Primary practice location

10522 S Cicero Ave Ste 301D
Oak Lawn, IL 60453-5200

Mailing address

10522 S Cicero Ave Ste 301D
Oak Lawn, IL 60453-5200
Phone (773) 449-0400

Other names 1

  • Abiodun Josephine Atomori Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190617002366 IL Practitioner - Nurse Practitioner 0547593964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10522 S Cicero Ave
Suite 301D
Oak Lawn, IL 60453-5200
Phone (773) 449-0400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019136ILMDAdult Health Nurse Practitioner
277.002157ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Jun 10, 2019 Accepting new patients
Aj Sylvie Health Services LTD. Adult Health CurrentSince Aug 29, 2022 Accepting new patients

Locations

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

10522 S Cicero Ave
Ste 301D
Oak Lawn, IL 60453
Phone (773) 449-0400

10522 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 424-7106

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1063071819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 301D",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "773-449-0400",
            "fax_number": "773-688-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 301D",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "773-449-0400",
            "fax_number": "773-688-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATOMORI",
        "first_name": "ABIODUN",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.002157",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.019136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIODUN",
            "last_name": "ATOMORI",
            "middle_name": "JOSEPHINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.