Mojisola Abayemi Akinfe
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Joliet, IL
NPI 1497369672 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1497369672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209021878 (IL)
- Practice address
- 2848 McDonough St
Joliet, IL 60436-1050 - Phone
- (773) 991-5811
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- J C Medical Group LTD
Practice addresses (Care Compare)
1635 E 154TH St
Dolton, IL 60419-3001
Phone (708) 841-9550
5025 N Paulina St
Chicago, IL 60640-2772
Phone (773) 271-9040
850 W Irving Park Rd
Chicago, IL 60613-3099
Phone (773) 525-6780
Hospital & facility affiliations
- Methodist Hospital of Chicago
- Thorek Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210308000432 | IL | Practitioner - Nurse Practitioner | 9436565074 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021878 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current |
Accepting new patients | |
| J C Medical Group LTD | Current |
Accepting new patients |
Locations
6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400
8201 S Ashland Ave
Chicago, IL 60620
Phone (773) 873-3434
1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550
3450 Oakton St
Ste 300
Skokie, IL 60076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209021878 | IL | Yes |
Addresses
Primary practice location
2848 McDonough St
Joliet, IL 60436-1050
Mailing address
2848 McDonough St
Joliet, IL 60436-1050
Phone (773) 991-5811
Other providers in Joliet, IL
- Aim Psychological Services Corp
- Midhun Ajikumar
- Kishor G Ajmere
- Sabah Akbar
- Matheena Akhtar
- Becky Akosah
- Hazem Al Muradi
- Krystal Zarefa Al-Haj
- Mustafa Aladin
- Mohammed J Alahmed
All providers in Joliet, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.