Adeyemi Kobari

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209025409 Issued in IL

Practice address

4300 Weaver Pkwy
Warrenville, IL 60555-3919

Phone

(708) 953-5459

NPI assigned

Jul 18, 2022

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289
  Medicare reassignment NPD
• Perspective Behavioral and Pain Solutions LTD

  • Psychologist
  • Rosemont, IL
  • NPI 1326671702
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1215662085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 CRESTVIEW DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864126",
            "telephone_number": "708-953-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEAVER PKWY",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553919",
            "telephone_number": "708-953-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBARI",
        "first_name": "ADEYEMI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209025409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kilgallen
• Hyunmin Kim
• Jasmine Kim
• Kinetic Health LLC
• Sarah Knobbe, FNP-BC
• Jerome L Kolavo, MD
• Alexa Konieczny, LPC
• Madison Kopjo, LAT, ATC, OTC
• Letitia Marie Kowalski, LCSW
• Anja Kathleen Kremer, BCBA

• Psychiatric/Mental Health Nurse Practitioner in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.