Organization Active NPI

Omni Wound Consulting

  • Community Health Nurse Practitioner
  • Flossmoor, IL
National Provider Identifier
1619861192
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
OMNI WOUND CONSULTING
Practice address
19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080
Phone
(773) 551-5855
NPI assigned
Jun 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
James Akindunbi, APRNNPI 1720712680
Title
Manager
Phone
(224) 258-4014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080

Mailing address

19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080
Phone (224) 258-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811002455 IL Part B Supplier - Clinic/Group Practice 3375041130 Receives reassigned benefits from 1 practitioner
Practice locations: Flossmoor, IL

National Provider Directory

National Provider Directory

Locations

19710 Governors Hwy
Ste 51189
Flossmoor, IL 60422
Phone (224) 258-4014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1619861192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 5-1189",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "224-258-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 5-1189",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "773-551-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI WOUND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "AKINDUNBI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-258-4014",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.