Olukemi Aina
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Melrose Park, IL
NPI 1124787650 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1124787650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209024364 (IL)
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 410-0615
- NPI assigned
- Dec 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Presence Behavioral Health
Sondermind PC
Practice addresses (Care Compare)
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073
416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230102000159 | IL | Practitioner - Nurse Practitioner | 7810389699 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Presence Behavioral Health | Current |
Accepting new patients | |
| Hope & Harmony Psychiatric Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Edgewood Clinical Services, P.C. | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
1820 S 25th Ave
Broadview, IL 60155
Phone (708) 338-3806
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
1414 Main St
Melrose Park, IL 60160
Phone (708) 681-0073
416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305
Interoperability endpoints
- lifestancehealth.olukemiaina@146897.advancedmd-direct.com
- olukemi.aina.1@21300.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209024364 | IL | Yes |
Addresses
Primary practice location
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 410-0615
Other practice location 1
28 N 1st St Ste 201
Geneva, IL 60134-2285
Phone (630) 428-7890
Other providers in Melrose Park, IL
- Alexandra Aguayo
- Bernie M. Aguilar
- Patricia Aguilar
- Mujtaba Ahmed
- Aakash B Ahuja
- Zainab Alabd
- Carlos J Alberttis
- Christina Alex
- Alexandre Family Health Center LTD
- Michelle J Alexandre
All providers in Melrose Park, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.