NPIMap

Individual provider Active NPI

Ismail Adebayo Oyebode, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669079018
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.021681 Issued in IL
Practice address
11000 S Halsted St
Chicago, IL 60628-3909
Phone
(773) 517-3183
NPI assigned
Oct 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.021681 IL Primary
Diagnostic Radiology Physician 2085R0202X 209.021681 IL

Addresses

Primary practice location

11000 S Halsted St
Chicago, IL 60628-3909

Mailing address

595 Larkspur Dr
Bolingbrook, IL 60440-4809
Phone (773) 517-3183

Other practice location 1

595 Larkspur Dr
Bolingbrook, IL 60440-4809
Phone (773) 517-3183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000584 IL Practitioner - Nurse Practitioner 0547673220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Pulmonary Critical Care and Sleep Consultants LLCGroup PAC ID 5799048526, 31 clinicians
Forever Care Home Visiting Physicians IncGroup PAC ID 1850631912, 14 clinicians

Practice addresses (Care Compare)

12820 S Ridgeland Ave
Suite B
Palos Heights, IL 60463-2389
Phone (708) 371-8006

2250 E Devon Ave
Suite 332
Des Plaines, IL 60018-4511
Phone (847) 257-7984

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.021681ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Care Home Visiting Physicians Inc CurrentSince Oct 20, 2020 Accepting new patients
Midwest Pulmonary Critical Care & Sleep Consultants LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
New Southtown Medical Group S C CurrentSince Oct 20, 2020 Accepting new patients
Home Visiting Doctors Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Pulmonary Consultants, SC PastSince Sep 1, 2004 Accepting new patients
Echelon Healthcare Services Diagnostic Radiology PastSince Oct 11, 2020 Accepting new patients
Prime Plus Lakeview LLC PastSince Oct 11, 2020 Accepting new patients

Locations

29777 Network Pl
Chicago, IL 60673

11000 S Halsted St
Chicago, IL 60628
Phone (773) 264-2236

8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747

2400 E Devon Ave
Ste 286
Des Plaines, IL 60018
Phone (847) 257-7984

12820 S Ridgeland Ave
Ste B
Palos Heights, IL 60463
Phone (708) 371-8006

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1669079018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 LARKSPUR DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404809",
            "telephone_number": "773-517-3183",
            "fax_number": "630-756-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283909",
            "telephone_number": "773-517-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Larkspur Dr",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404809",
            "country_code": "US",
            "telephone_number": "773-517-3183",
            "fax_number": "630-756-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEBODE",
        "first_name": "ISMAIL",
        "middle_name": "ADEBAYO",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.021681",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "209.021681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.