Individual provider Active NPI

James Akindunbi

  • Adult Health Nurse Practitioner
  • Flossmoor, IL
National Provider Identifier
1720712680
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.002923 Issued in IL
Practice address
19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080
Phone
(224) 258-4014
NPI assigned
Jul 14, 2022
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.002923 IL Primary
Gerontology Nurse Practitioner 363LG0600X 277.002923 IL

Addresses

Primary practice location

19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080

Mailing address

19710 Governors Hwy Ste 5-1189
Flossmoor, IL 60422-2080
Phone (773) 551-5855

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
I20220831001232 IL Practitioner - Nurse Practitioner 9234513821 Reassigns benefits to 5 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
Radial Wound PLLCGroup PAC ID 4082140918, 7 clinicians
Sunshine Wounds LLCGroup PAC ID 0840726212, 6 clinicians

Practice addresses (Care Compare)

Flossmoor, IL 60422
Phone (773) 551-5855

Chicago, IL 60611
Phone (872) 321-3162

3000 N Halsted St
Suite 600
Chicago, IL 60657-9269
Phone (708) 237-9535

306 N Larkin Ave
Joliet, IL 60435-6698
Phone (929) 491-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.002923ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Wound Care LLC CurrentSince Jul 1, 2024 Accepting new patients
Omni Wound Consulting CurrentSince Jun 26, 2025 Accepting new patients
Radial Wound PLLC CurrentSince Feb 1, 2026 Accepting new patients
Sunshine Wounds LLC CurrentSince Sep 30, 2025 Accepting new patients

Locations

3000 N Halsted St
Ste 600
Chicago, IL 60657
Phone (708) 237-9535

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

19710 Governors Hwy
Ste 5
Flossmoor, IL 60422
Phone (773) 551-5855

19710 Governors Hwy
Ste 51189
Flossmoor, IL 60422
Phone (224) 258-4014

2021 Midwest Rd
Ste 200
Oak Brook, IL 60523
Phone (312) 599-2555

Organizations & group practices 5

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1720712680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 5-1189",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "773-551-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 5-1189",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "224-258-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINDUNBI",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.002923",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "277.002923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.