Active NPI
Omni Care Consulting Services PLLC
- Nurse Practitioner
- Naperville, IL
National Provider Identifier
1467139998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- OMNI CARE CONSULTING SERVICES PLLC
- Practice address
- 2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564 - Phone
- (630) 863-0722
- NPI assigned
- Jun 27, 2023
- Last updated
- Mar 10, 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
- Ayodeji Adegoye
- Title
- Ceo
- Phone
- (773) 983-9892
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564
Mailing address
2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564
Phone (630) 863-0722
National Provider Directory
National Provider DirectoryLocations
2735 Hassert Blvd
Ste 135681
Naperville, IL 60564
Phone (773) 983-9892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710028800000",
"number": "1467139998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 HASSERT BLVD, STE 135, #681",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60564",
"telephone_number": "630-863-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 HASSERT BLVD, STE 135, #681",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60564",
"telephone_number": "630-863-0722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI CARE CONSULTING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A",
"authorized_official_last_name": "ADEGOYE",
"authorized_official_first_name": "AYODEJI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-983-9892"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.