Active NPI
Omni Wound Consulting
- Community Health Nurse Practitioner
- Flossmoor, IL
National Provider Identifier
1619861192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Akindunbi, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Flossmoor, IL
- NPI 1720712680
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.