Active NPI
Grace Olatunji, DNP, APRN
- Women's Health Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209.029118
- Practice address
- 3752 W 16TH St
Chicago, IL 60623-2028 - Phone
- (773) 762-2435
- NPI assigned
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209.029118 | IL | Primary |
Addresses
Primary practice location
3752 W 16TH St
Chicago, IL 60623-2028
Mailing address
5100 N Marine Dr Apt 10B
Chicago, IL 60640-6355
Phone (773) 997-9642
Other practice location 1
2409 W Warren Blvd
Chicago, IL 60612-2115
Phone (312) 733-4475
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521002820 | IL | Practitioner - Nurse Practitioner | 0446692560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Community Health Network
Practice addresses (Care Compare)
2409 W Warren Blvd
Warren Family Health Center
Chicago, IL 60612-2115
Phone (312) 733-4475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.029118 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Past | Accepting new patients |
Locations
3752 W 16th St
Chicago, IL 60623
Phone (773) 521-0060
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
2409 W Warren Blvd
Chicago, IL 60612
Phone (312) 733-4475
Interoperability endpoints
- golatunji25078@direct.achn.net
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
IL
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1205908720
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1043398217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1780449256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 N MARINE DR APT 10B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606406355",
"telephone_number": "773-997-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3752 W 16TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606232028",
"telephone_number": "773-762-2435"
}
],
"practiceLocations": [
{
"address_1": "2409 W Warren Blvd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606122115",
"country_code": "US",
"telephone_number": "312-733-4475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLATUNJI",
"first_name": "GRACE",
"credential": "DNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209.029118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.