Individual provider Active NPI

Deborah O Oludemi

  • Family Nurse Practitioner
  • Oak Forest, IL
National Provider Identifier
1700640059
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026383 Issued in IL
Practice address
15601 Cicero Ave Suite 103E
Oak Forest, IL 60452-3635
Phone
(708) 722-2329
Fax
(708) 444-4960
NPI assigned
Feb 7, 2024
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 209026383 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026383 IL

Addresses

Primary practice location

15601 Cicero Ave Suite 103E
Oak Forest, IL 60452-3635

Mailing address

15601 Cicero Ave Ste 103E
Oak Forest, IL 60452-3636
Phone (708) 722-2329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026383ILMDFamily Nurse Practitioner

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1700640059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE STE 103E",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523636",
            "telephone_number": "708-722-2329",
            "fax_number": "708-444-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE SUITE 103E",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523635",
            "telephone_number": "708-722-2329",
            "fax_number": "708-444-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUDEMI",
        "first_name": "DEBORAH",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026383",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.