Nurudeen Afolabi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020869 Issued in IL

Practice address

4714 S Evans Ave Apt 1S
Chicago, IL 60615-1656

Phone

(312) 383-7925

NPI assigned

Feb 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Great Lakes Pulmonary & Sleep Associates, Inc

  • Pulmonary Disease Physician
  • Gary, IN
  • NPI 1003096504

  IL

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1568096147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 S EVANS AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606151656",
            "telephone_number": "312-383-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 S EVANS AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606151656",
            "telephone_number": "312-383-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOLABI",
        "first_name": "NURUDEEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Home Caregiving Services, Inc.
• Affordable Medical Transportation Inc.
• Affordable Office Based Surgery
• Affordable Optical Chicago Inc
• Mohamed S Afifi, MD
• Sadia Afreen, O.D.
• Masooma Afridi
• Nayyar Afroz, PHYSICIAN
• Dawn Afryl I, PHARMD
• Afs Counseling Services P.C.

• All providers in Chicago, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.