Individual provider Active NPI

Christianah O Olatunji

  • Homemaker
  • Oswego, IL
National Provider Identifier
1447652987
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
3000701 Issued in IL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3000701ILMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Support Services, LLC Homemaker CurrentSince Oct 9, 2022 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.

Verify at the official NPI Registry.