Modupe Ojuetimi Olukeye, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.023284 Issued in IL

Practice address

2206 W Greenleaf Ave
Chicago, IL 60645-4804

Phone

(773) 234-1067

NPI assigned

May 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Modupe O Osunkeye Former name

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

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.

• Dynasty 57 Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1689538563
  Medicare reassignment NPD Authorized official
• Tabs Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
  • NPI 1518585942
  Medicare reassignment NPD

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1295301315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043946",
            "telephone_number": "312-747-0036",
            "fax_number": "312-747-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 W GREENLEAF AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454804",
            "telephone_number": "773-234-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKEYE",
        "first_name": "MODUPE",
        "middle_name": "OJUETIMI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041409665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MODUPE",
            "last_name": "OSUNKEYE",
            "middle_name": "O",
            "credential": "OSUNKEYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Collin T Oltman, DPT
• Christopher Oltmans
• Tolulope Joshua Olu-Lawal, MD
• Rachel Olufemi, NP
• Mustapha O Olugbile, APN
• Ekiomoado Agnes Olumese, MD
• Emmanuel Olumuyide, MD
• Ebunoluwa Joyce Olunuga, MD
• Damilola Rahmat Olusanya
• Deborah Olusoga

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, 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 Dec 16, 2025; 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.