Individual provider Active NPI

Adejimi O Carrington

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1235887779
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024902 Issued in IL
Practice address
36267 N Old Woods TRL
Gurnee, IL 60031-1683
Phone
(847) 224-0946
NPI assigned
Mar 14, 2022
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.024902 IL Primary

Addresses

Primary practice location

36267 N Old Woods TRL
Gurnee, IL 60031-1683

Mailing address

36267 N Old Woods TRL
Gurnee, IL 60031-1683
Phone (847) 224-0946

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
I20220504002416 IL Practitioner - Nurse Practitioner 9032506340 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Healthcare SCGroup PAC ID 0042539173, 15 clinicians
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

2222 14TH St
Waukegan, IL 60085-7708
Phone (847) 249-2400

5061 N Pulaski Rd
Chicago, IL 60630-2706
Phone (773) 604-8112

9300 W Ballard Rd
Des Plaines, IL 60016-4904
Phone (847) 294-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024902ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Dec 17, 2024 Accepting new patients
Integra Healthcare SC CurrentSince Mar 24, 2023 Accepting new patients
Livestrong Therapy LLC CurrentSince Oct 6, 2023 Accepting new patients
Integra Medical Doctors Inc CurrentSince Nov 15, 2023 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Jan 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 13, 2023 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

2815 Forbs Ave
Ste 107
Hoffman Estates, IL 60192
Phone (224) 765-0100

15915 S Crystal Creek Dr
Ste H
Homer Glen, IL 60491
Phone (708) 400-8063

4655 W Chase Ave
Lincolnwood, IL 60712
Phone 8472623800202

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

16450 S 97th Ave
Orland Park, IL 60467
Phone (708) 403-6500

2504 Washington St
Ste 102
Waukegan, IL 60085
Phone (847) 623-7590

2534 Elim Ave
Zion, IL 60099
Phone (847) 328-6503

128 S East St
Unit 1109
Crown Point, IN 46308

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1235887779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36267 N OLD WOODS TRL",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311683",
            "telephone_number": "847-224-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36267 N OLD WOODS TRL",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311683",
            "telephone_number": "847-224-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "ADEJIMI",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.