Active NPI
Sulaimon Kehinde Oladipo
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1558765164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209034652
- Practice address
- 9415 S Western Ave Ste 206
Chicago, IL 60643-6700 - Phone
- (773) 301-8464
- Fax
- (773) 530-2643
- NPI assigned
- Oct 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 1011663 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209034652 | IL | Primary |
Addresses
Primary practice location
9415 S Western Ave Ste 206
Chicago, IL 60643-6700
Mailing address
9415 S Western Ave Ste 206
Chicago, IL 60643-6700
Phone (773) 301-8464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011663 | Medicaid | IL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011663 | IL | MD | Home Health Registered Nurse |
| 209034652 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1558765164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 S WESTERN AVE STE 206",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606436700",
"telephone_number": "773-301-8464",
"fax_number": "773-530-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 S WESTERN AVE STE 206",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606436700",
"telephone_number": "773-301-8464",
"fax_number": "773-530-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLADIPO",
"first_name": "SULAIMON",
"middle_name": "KEHINDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-10",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "IL",
"license": "1011663",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209034652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011663",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.