Onyeisi Stephen Ogbomeh, DNP, APRN-FPA,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020388 Issued in IL

Practice address

25111 W Warren Ave
Lake Villa, IL 60046-9741

Phone

(224) 844-3763

NPI assigned

Nov 6, 2019

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL, TX2 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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiorenal Therapeutics of Illinois PLLCGroup PAC ID 5395159677, 32 clinicians

Practice addresses (Care Compare)

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.

• Reassure Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Villa, IL
  • NPI 1245113786

  Family

  Medicare reassignment NPD Authorized official
• Cardiorenal Therapeutics of Illinois PLLC

  • Nephrology Physician
  • Oakbrook Terrace, IL
  • NPI 1336752682
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Aim Healthcare Providers Il, SC

  • Family Medicine Physician
  • Downers Grove, IL
  • NPI 1891494084
  NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1306480025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600464600",
            "telephone_number": "773-791-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 W WARREN AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469741",
            "telephone_number": "224-844-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOMEH",
        "first_name": "ONYEISI",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-FPA,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Naes
• Mohamed E Nasr, M.D.
• Andrilyn Nededog, NP
• Pamela Norley, D.C.
• Northwest Suburban Urgent Care (Northwest Suburban Medical Center)
• Rosanne Oggoian, D.O.
• Laura Nancy Ogurek, PSY.D.
• Robyn Ondo, LCSW
• One Goal Wellness, Inc
• One Hope United

• Family Nurse Practitioner in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.