Individual provider Active NPI

Oluwatosin S Ijale, FNP

  • Family Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1245991397
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027788 Issued in IL
Practice address
20303 Crawford Ave
Olympia Fields, IL 60461-1073
Phone
(773) 690-9646
NPI assigned
Dec 31, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014290A IN
Family Nurse Practitioner 363LF0000X 4034110 KY
Family Nurse Practitioner 363LF0000X 1151586 TX
Family Nurse Practitioner 363LF0000X 209027788 IL Primary
Family Nurse Practitioner 363LF0000X 10022850 OR
Family Nurse Practitioner 363LF0000X 4704425564 MI
Registered Nurse 163W00000X 041430715 IL

Addresses

Primary practice location

20303 Crawford Ave
Olympia Fields, IL 60461-1073

Mailing address

20120 Redwood Ave
Lynwood, IL 60411-6803
Phone (773) 690-9646

Other practice location 1

1369 E Hyde Park Blvd
Chicago, IL 60615-2918
Phone (773) 690-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, TX, MI, KY, CT, WI7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20230728002294 IL Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 7 organizations
I20240205000529 IN Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 3 organizations
I20240625002395 TX Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 1 organization
I20250215000153 MI Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 1 organization
I20250220003280 KY Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 1 organization
I20250320003297 CT Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 1 organization
I20250508000616 WI Practitioner - Nurse Practitioner 9133580715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Mi Post Acute Specialists PCGroup PAC ID 6204269483, 28 clinicians
In Post Acute Specialists PCGroup PAC ID 8325379522, 29 clinicians

Practice addresses (Care Compare)

13900 W Burleigh Rd
Brookfield, WI 53005-3019
Phone (262) 781-0550

145 Columbia Ave
Holland, MI 49423-2981
Phone (610) 820-7638

2510 Lake Michigan Dr NW
Grand Rapids, MI 49504-8042
Phone (616) 301-8800

2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone (414) 435-2005

326 Country Club Dr
New Albany, IN 47150-4618
Phone (812) 948-1311

3600 Fulton St E
Grand Rapids, MI 49546-1322
Phone (616) 577-2214

800 W Oakton St
Arlington Heights, IL 60004-4602
Phone (947) 368-7315

W4266 County Rd X
Owen, WI 54460-3301
Phone (715) 229-2172

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041430715ILMDRegistered Nurse
14567CTMDPhysical Therapist
209027788ILMDFamily Nurse Practitioner
10022850ORMDFamily Nurse Practitioner
1151586TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Post Acute Specialists PC Family CurrentSince Feb 10, 2025 Accepting new patients
Post Acute Specialists, LLC CurrentSince Jun 13, 2024 Accepting new patients
Stable Health Care Services LLC Current Accepting new patients
MHN Infusions Group LLC CurrentSince May 11, 2024 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Jun 18, 2023 Accepting new patients
Quality Plus Care Inc CurrentSince Jul 1, 2025 Accepting new patients
Evohome Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
Texas Post Acute Specialists, PA CurrentSince Jun 13, 2024 Accepting new patients
In Post Acute Specialists, PC CurrentSince Jun 13, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 7, 2023 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince Dec 24, 2023 Accepting new patients
Evocare Wound Solutions PA CurrentSince Jul 1, 2025 Accepting new patients
My Home Nurses LLC Past Accepting new patients
My Home Nurses LLC Past Accepting new patients

Locations (25 of 26)

59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

400 N May St
Ste 101
Chicago, IL 60642
Phone (312) 498-6616

400 N May St
Ste 201
Chicago, IL 60642
Phone (888) 491-6729

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

2255 Monarch Dr
Naperville, IL 60563
Phone (630) 300-1125

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

5635 W 96th St
Ste 300
Indianapolis, IN 46278
Phone (317) 733-9454

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200

1000 114th St
Whiting, IN 46394
Phone (219) 659-2770

950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151

55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

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

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6707

8611 Main St
Needville, TX 77461
Phone (979) 793-4256

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499

815 Peach St
Tomball, TX 77375
Phone (281) 351-5443

9825 S Jordan Gtwy
Sandy, UT 84070

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: oluwatosin.ijale.1@25522.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1245991397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20120 REDWOOD AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116803",
            "telephone_number": "773-690-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611073",
            "telephone_number": "773-690-9646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1369 E Hyde Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606152918",
            "country_code": "US",
            "telephone_number": "773-690-9646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IJALE",
        "first_name": "OLUWATOSIN",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014290A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4034110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027788",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10022850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704425564",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041430715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.