Olatokunbo Oluwatoyin Kolawole, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036135113 Issued in IL

Practice address

18210 La Grange Rd
200
Tinley Park, IL 60487-7722

Phone

(708) 479-6636

Fax

(708) 479-9460

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Advocate Health & Hospitals Corporation

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Genesis Health System

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1922012764
  NPD (past)
• Genesis Medical Education Foundation Inc

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1659322931
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1073798617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 S. LAGRANGE ROAD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-479-6636",
            "fax_number": "708-479-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877722",
            "telephone_number": "708-479-6636",
            "fax_number": "708-479-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAWOLE",
        "first_name": "OLATOKUNBO",
        "middle_name": "OLUWATOYIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Koenig, RBT
• Amanda Koerber
• Olivia Koger-Brown, RBT
• James N. Kogionis, DDS
• Cheryl Kokaska
• Elzbieta Kolodziej, P.A.
• Katrina Lorae Koltz, PT, DPT
• Roseann Kondellas
• Michael Korpics, MD
• Kosel Dental PC

• Family Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.