Individual provider Active NPI

Olivia Al-Hamdan, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1699454819
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027645 Issued in IL
Practice address
3258 W 111TH St
Chicago, IL 60655-2729
Phone
(773) 629-8217
NPI assigned
Jul 14, 2023
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209027645 IL Primary

Addresses

Primary practice location

3258 W 111TH St
Chicago, IL 60655-2729

Mailing address

3258 W 111TH St
Chicago, IL 60655-2729
Phone (773) 629-8217

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
I20231027000040 IL Practitioner - Nurse Practitioner 4284080276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relief Urgent Care LLCGroup PAC ID 9032653779, 6 clinicians

Practice addresses (Care Compare)

15345 S la Grange Rd
Orland Park, IL 60462-3712
Phone (708) 400-8881

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027645ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jun 4, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 4, 2024 Accepting new patients
Relief Urgent Care LLC CurrentSince Aug 12, 2025 Accepting new patients
Midwest Express Care 2 Inc PastSince Jun 16, 2024 Accepting new patients

Locations

15345 S La Grange Rd
Orland Park, IL 60462
Phone (708) 400-8881

15345 S La Grange Rd
Ste 102
Orland Park, IL 60462

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: oalhamdan383040@direct.myadvocateaurora.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1699454819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552729",
            "telephone_number": "773-629-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552729",
            "telephone_number": "773-629-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAMDAN",
        "first_name": "OLIVIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.