Active NPI
Christianah O Olatunji
- Homemaker
- Oswego, IL
National Provider Identifier
1447652987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 3000701
- Practice address
- 123 W Washington St Ste B-11
Oswego, IL 60543-8214 - Phone
- (630) 636-6892
- Fax
- (630) 636-9152
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 3000701 | IL | Primary |
Addresses
Primary practice location
123 W Washington St Ste B-11
Oswego, IL 60543-8214
Mailing address
123 W Washington St Ste B-11
Oswego, IL 60543-8214
Phone (630) 636-6892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3000701 | IL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Support Services, LLC | Homemaker | Current | Accepting new patients |
Locations
123 W Washington St
Bsmt B11
Oswego, IL 60543
Phone (630) 636-6892
68 Main St
Ste 1
Oswego, IL 60543
Phone (630) 554-2343
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1447652987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W WASHINGTON ST STE B-11",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438214",
"telephone_number": "630-636-6892",
"fax_number": "630-636-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W WASHINGTON ST STE B-11",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438214",
"telephone_number": "630-636-6892",
"fax_number": "630-636-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLATUNJI",
"first_name": "CHRISTIANAH",
"middle_name": "O",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IL",
"license": "3000701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.