Active NPI
Michelle Olasimbo, APRN, FNP-BC
- Family Nurse Practitioner
- Evanston, IL
National Provider Identifier
1619442084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209030372
- Practice address
- 1723 Howard St
Evanston, IL 60202-3735 - Phone
- (224) 307-8550
- Fax
- (847) 491-0380
- NPI assigned
- Oct 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 209030372 | IL | Primary |
Addresses
Primary practice location
1723 Howard St
Evanston, IL 60202-3735
Mailing address
1224 W Jarvis Ave Apt 3S
Chicago, IL 60626-2037
Phone (773) 540-2106
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041396374 | IL | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1619442084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W JARVIS AVE APT 3S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606262037",
"telephone_number": "773-540-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023735",
"telephone_number": "224-307-8550",
"fax_number": "847-491-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLASIMBO",
"first_name": "MICHELLE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209030372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.