Individual provider Active NPI

Grace Olatunji, DNP, APRN

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1780449256
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.029118 Issued in IL
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

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NetworkGroup PAC ID 9537076112, 182 clinicians

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

LicenseStateTypeSpecialty
209.029118ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince May 13, 2024 Accepting new patients
Access Community Health Network CurrentSince May 13, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.