Active NPI
Olubunmi Adeboye
- Family Nurse Practitioner
- Lynwood, IL
National Provider Identifier
1497660484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.034903
- Practice address
- 20128 Driftwood Ave
Lynwood, IL 60411-6811 - Phone
- (708) 845-0501
- NPI assigned
- Aug 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.034903 | IL | Primary |
Addresses
Primary practice location
20128 Driftwood Ave
Lynwood, IL 60411-6811
Mailing address
20128 Driftwood Ave
Lynwood, IL 60411-6811
Phone (708) 845-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1497660484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20128 DRIFTWOOD AVE",
"city": "LYNWOOD",
"state": "IL",
"postal_code": "604116811",
"telephone_number": "708-845-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20128 DRIFTWOOD AVE",
"city": "LYNWOOD",
"state": "IL",
"postal_code": "604116811",
"telephone_number": "708-845-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBOYE",
"first_name": "OLUBUNMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-15",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.034903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.