Bimbola Mufliat Amoranbini, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209019526 Issued in IL

Practice address

8900 S County Line Rd
Burr Ridge, IL 60527-6321

Phone

(773) 275-4800

NPI assigned

Jul 3, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bimbola Mufliat Amoranbini Other name

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J C Medical Group LTDGroup PAC ID 4082668405, 11 clinicians

Foundation for Outreach ServicesGroup PAC ID 3375507163, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital of Chicago Hospital, Chicago, IL, CCN 140197
• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• St Bernard Hospital Hospital, Chicago, IL, CCN 140103

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242
  Medicare reassignment Care Compare group NPD
• J C Medical Group LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407961592
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Resoma LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazel Crest, IL
  • NPI 1447006499
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291
  Care Compare affiliation
• Thorek Memorial Hospital

  dba Methodist Hospital of Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1770145278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292479",
            "telephone_number": "773-297-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 S COUNTY LINE RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276321",
            "telephone_number": "773-275-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORANBINI",
        "first_name": "BIMBOLA",
        "middle_name": "MUFLIAT",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209019526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIMBOLA",
            "last_name": "AMORANBINI",
            "middle_name": "MUFLIAT",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alpha Physical Therapy Inc.
• Marie Maloney Altenburg, MD
• Rami Alzein, DMD
• Americans for Better Hearing Foundation (Abhf)
• Amm LTD
• Ams Wellness PLLC
• John Anastasi, MD
• Candice Sue Anderson, MD
• Maria Anderson
• Gina Pongetti Angeletti, MPT

• Psychiatric/Mental Health Nurse Practitioner in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.