Active NPI
Williams K. Ojo, CSFA
- Surgical Assistant
- Zion, IL
National Provider Identifier
1144794983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 186724
- Practice address
- 2520 Elisha Ave
Zion, IL 60099-2676 - Phone
- (847) 731-5000
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 186724 | IL | Primary |
Addresses
Primary practice location
2520 Elisha Ave
Zion, IL 60099-2676
Mailing address
406 N Green Bay Rd Apt 510
Waukegan, IL 60085-3166
Phone (224) 413-9351
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186724 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1144794983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N GREEN BAY RD APT 510",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600853166",
"telephone_number": "224-413-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ELISHA AVE",
"city": "ZION",
"state": "IL",
"postal_code": "600992676",
"telephone_number": "847-731-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJO",
"first_name": "WILLIAMS",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "186724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.