Individual provider Active NPI

Olutoyin Okunfolami, WHNP

  • Women's Health Nurse Practitioner
  • Waukegan, IL
National Provider Identifier
1326386558
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209010133 Issued in IL
Practice address
2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone
(847) 377-8670
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209010133 IL Primary

Addresses

Primary practice location

2400 Belvidere Rd
Waukegan, IL 60085-6165

Mailing address

1336 Dennis PL
Des Plaines, IL 60018-1404
Phone (847) 813-9273

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
I20130613000011 IL Practitioner - Nurse Practitioner 8325287816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Family Health Center, Inc. Current Accepting new patients

Locations

9119 S Exchange Ave
Chicago, IL 60617

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1326386558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 DENNIS PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181404",
            "telephone_number": "847-813-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELVIDERE RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856165",
            "telephone_number": "847-377-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNFOLAMI",
        "first_name": "OLUTOYIN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209010133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.