NPIMap

Organization Active NPI

Chicagoland Infectious Disease PC

  • Infectious Disease Physician
  • South Holland, IL
National Provider Identifier
1780002352
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036119718 Issued in IL
Legal business name
CHICAGOLAND INFECTIOUS DISEASE PC
Practice address
430 E 162ND St
#487
South Holland, IL 60473-2258
Phone
(312) 504-5757
NPI assigned
Apr 1, 2014
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Olufemi Aboyeji, MDNPI 1790983690
Title
President
Phone
(708) 960-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 036119718 IL Primary

Addresses

Primary practice location

430 E 162ND St
#487
South Holland, IL 60473-2258

Mailing address

430 E 162ND St
#487
South Holland, IL 60473-2258
Phone (708) 960-4280

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address oaboyeji261669@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address oaboyeji261669@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140516001062 IL Part B Supplier - Clinic/Group Practice 5193948362 Receives reassigned benefits from 56 practitioners
Practice locations: Harvey, IL; Hazel Crest, IL; Hobart, IN; Homewood, IL; Itasca, IL; Lansing, IL; Naperville, IL; New Lenox, IL…
O20150205000149 IN Part B Supplier - Clinic/Group Practice 5193948362 Receives reassigned benefits from 20 practitioners
Practice locations: Hobart, IN; Whiting, IN; Munster, IN; Merrillville, IN; La Porte, IN; Gary, IN; Dyer, IN; Crown Point, IN

National Provider Directory

National Provider Directory

Locations

14500 S Manistee Ave
Chicago, IL 60633
Phone (708) 862-1260

833 E 158th St
Ste 5
Dolton, IL 60419

17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100

17901 Governors Hwy
Ste 209
Homewood, IL 60430
Phone (708) 960-4280

245 W Johnson Rd
Ste 7
La Porte, IN 46350
Phone (219) 262-0037

Interoperability endpoints

  • Direct secure messaging: oaboyeji261669@direct.myadvocateaurora.org

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1780002352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST",
            "address_2": "#487",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-960-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST",
            "address_2": "#487",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "312-504-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND INFECTIOUS DISEASE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "ABOYEJI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-960-4280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036119718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oaboyeji261669@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 E 162nd St",
            "address_2": "#487",
            "city": "South Holland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604732258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "430 E 162nd St",
            "address_2": "#487",
            "city": "South Holland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604732258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oaboyeji261669@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 E 162nd St",
            "address_2": "#487",
            "city": "South Holland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604732258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "430 E 162nd St",
            "address_2": "#487",
            "city": "South Holland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604732258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.