Olatunji Olusegun Bamgbose

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

818 S Wolcott Ave
Chicago, IL 60612-3702

Phone

(312) 719-1524

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1285574517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N BEACON ST APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405502",
            "telephone_number": "312-719-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123702",
            "telephone_number": "312-719-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124336",
            "country_code": "US",
            "telephone_number": "312-719-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMGBOSE",
        "first_name": "OLATUNJI",
        "middle_name": "OLUSEGUN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Balza, LCSW
• Carrie A Balzer
• Simona Bambi, PA-C
• Bamenda Health, LLC (Bamenda Health)
• Akua S Bamfo-Agyei, PHARM.D
• Adebisi Bamidele, MD
• Gurtej Singh Bamrah, PHARMD, BCPS
• Daniel Robert Bamrick-Fernandez, MD, MBA
• Jong-Wook Ban, M.D.
• Suyeun Ban

• Health Educator in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Educator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.