Individual provider Active NPI

Olufunmilola Ogunniyi

  • Administrator Registered Nurse
  • Chicago, IL
National Provider Identifier
1669165445
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
041519582 Issued in IL
Practice address
7121 N Ridge Blvd Apt 407
Chicago, IL 60645-3549
Phone
(872) 235-7778
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 041519582 IL Primary

Addresses

Primary practice location

7121 N Ridge Blvd Apt 407
Chicago, IL 60645-3549

Mailing address

7121 N Ridge Blvd Apt 407
Chicago, IL 60645-3549
Phone (872) 235-7778

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

State licenses

LicenseStateTypeSpecialty
041519582ILMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1669165445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 N RIDGE BLVD APT 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453549",
            "telephone_number": "872-235-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 N RIDGE BLVD APT 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453549",
            "telephone_number": "872-235-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNIYI",
        "first_name": "OLUFUNMILOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041519582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.