Active NPI
Aderemi Lawal
- Family Nurse Practitioner
- Oakbrook Terrace, IL
National Provider Identifier
1801540216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 024569
- Practice address
- 117W755 Butterfield Road
Unit 104
Oakbrook Terrace, IL 60181 - Phone
- (312) 818-4650
- NPI assigned
- Feb 5, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 024569 | IL | Primary |
Addresses
Primary practice location
117W755 Butterfield Road
Unit 104
Oakbrook Terrace, IL 60181
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (312) 818-4650
Other practice location 1
1536 Vincennes Ave
Chicago Heights, IL 60411-3458
Phone (877) 692-8686
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024569 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Magnificent Medical Care LLC | Family | Current | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- aderemi.lawal.1@13826.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Dolton, IL
- NPI 1093641177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1801540216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40412",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151255",
"telephone_number": "312-818-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117W755 BUTTERFIELD ROAD",
"address_2": "UNIT 104",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "60181",
"telephone_number": "312-818-4650"
}
],
"practiceLocations": [
{
"address_1": "1536 Vincennes Ave",
"address_purpose": "LOCATION",
"city": "Chicago Heights",
"state": "IL",
"postal_code": "604113458",
"country_code": "US",
"telephone_number": "877-692-8686",
"fax_number": "708-754-2951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWAL",
"first_name": "ADEREMI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-05",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "024569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.