Active NPI
Olufunmilayo Pearson
- Medical-Surgical Registered Nurse
- Skokie, IL
National Provider Identifier
1821835455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 041558807
- Practice address
- 10015 Beverly Dr Apt 409
Skokie, IL 60076-1057 - Phone
- (312) 257-6734
- NPI assigned
- Jul 11, 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 041558807 | IL | Primary |
Addresses
Primary practice location
10015 Beverly Dr Apt 409
Skokie, IL 60076-1057
Mailing address
10015 Beverly Dr Apt 409
Skokie, IL 60076-1057
Phone (312) 257-6734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041558807 | IL | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1821835455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10015 BEVERLY DR APT 409",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761057",
"telephone_number": "312-257-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 BEVERLY DR APT 409",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761057",
"telephone_number": "312-257-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "OLUFUNMILAYO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "IL",
"license": "041558807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.