Active NPI
Resoma LLC
- Psychiatric/Mental Health Nurse Practitioner
- Hazel Crest, IL
National Provider Identifier
1447006499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.