Organization Active NPI

Resoma LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazel Crest, IL
National Provider Identifier
1447006499
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESOMA LLC
Practice address
18451 Carrington CT
Hazel Crest, IL 60429-2479
Phone
(773) 297-4382
Fax
(773) 297-4382
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Bimbola Amoranbini
Title
Pmhnp
Phone
(773) 297-4382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

18451 Carrington CT
Hazel Crest, IL 60429-2479

Mailing address

18451 Carrington CT
Hazel Crest, IL 60429-2479
Phone (773) 297-4382

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1447006499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292479",
            "telephone_number": "773-297-4382",
            "fax_number": "773-297-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292479",
            "telephone_number": "773-297-4382",
            "fax_number": "773-297-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "AMORANBINI",
        "authorized_official_first_name": "BIMBOLA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "773-297-4382"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.