Individual provider Active NPI

Jennifer Olorunjuedalo Folami

  • Emergency Medicine Physician
  • Rockford, IL
National Provider Identifier
1477356236
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125086395 Issued in IL
Practice address
341 Bienterra TRL Apt 6
Rockford, IL 61107-5853
Phone
(773) 359-7849
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125086395 IL
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 125086395 IL Primary

Addresses

Primary practice location

341 Bienterra TRL Apt 6
Rockford, IL 61107-5853

Mailing address

341 Bienterra TRL Apt 6
Rockford, IL 61107-5853
Phone (773) 359-7849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718002931 IL Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 6103332994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125086395ILMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jfolami166770@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1477356236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 BIENTERRA TRL APT 6",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075853",
            "telephone_number": "773-359-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BIENTERRA TRL APT 6",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075853",
            "telephone_number": "773-359-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLAMI",
        "first_name": "JENNIFER",
        "middle_name": "OLORUNJUEDALO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125086395",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125086395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.