Individual provider Active NPI

Omowunmi Ajimoti, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669264545
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032316 Issued in IL
Practice address
1725 S Wabash Ave
Chicago, IL 60616-1219
Phone
(773) 727-6007
NPI assigned
May 19, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209032316 IL
Family Nurse Practitioner 363LF0000X 209032316 IL Primary

Addresses

Primary practice location

1725 S Wabash Ave
Chicago, IL 60616-1219

Mailing address

7424 Tiffany Dr
Orland Park, IL 60462-5225
Phone (773) 727-6007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000931 IL Practitioner - Nurse Practitioner 7315454980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

1725 S Wabash Ave
Chicago, IL 60616-1219
Phone (312) 922-2777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209032316ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3450 Oakton St
Ste 300
Skokie, IL 60076

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1669264545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 TIFFANY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625225",
            "telephone_number": "773-727-6007",
            "fax_number": "773-727-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161219",
            "telephone_number": "773-727-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIMOTI",
        "first_name": "OMOWUNMI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209032316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.