Individual provider Active NPI

Victor Adeniyi Akinola

  • Surgical Assistant
  • Streamwood, IL
National Provider Identifier
1487979076
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238.000254 Issued in IL
Practice address
808 Surrey Dr
Streamwood, IL 60107-2133
Phone
(847) 207-2815
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 238.000254 IL Primary

Addresses

Primary practice location

808 Surrey Dr
Streamwood, IL 60107-2133

Mailing address

808 Surrey Dr
Streamwood, IL 60107-2133
Phone (847) 207-2815

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
238.000254ILMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chrisbabs Surgical Assistant Inc Surgical Assistant Past Accepting new patients

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1487979076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SURREY DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072133",
            "telephone_number": "847-207-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SURREY DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072133",
            "telephone_number": "847-207-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINOLA",
        "first_name": "VICTOR",
        "middle_name": "ADENIYI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.