Olubunmi Isijola

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209026319 Issued in IL

Practice address

1800 Ridge Rd
Unit 104 Suite 7
Homewood, IL 60430-1723

Phone

(847) 957-6037

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness & Hope Behavioral Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homewood, IL
  • NPI 1982485306
  Medicare reassignment NPD Authorized official
• Elemental Center LTD.

  • Psychiatry Physician
  • Orland Park, IL
  • NPI 1033410477
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1497475461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 E 172ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733727",
            "telephone_number": "773-297-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RIDGE RD",
            "address_2": "UNIT 104 SUITE 7",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301723",
            "telephone_number": "847-957-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 E 172nd St",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "604733727",
            "country_code": "US",
            "telephone_number": "773-297-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISIJOLA",
        "first_name": "OLUBUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041434818",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insights Therapeutic Services, LLC
• Integrity Clinical Consulting & Training LLC
• Interlude Healing Collective LLC
• Intermed Oncology
• Jeffrey Dan Intud
• Cathy Gail Jackson, LCPC
• Ulfath Jameel, DMD
• Rita Jasenauskas
• Jean Pierre Jean Inc
• Lisa Renee Jenkins

• Psychiatric/Mental Health Nurse Practitioner in Homewood, IL
• Providers in Homewood, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.