Individual provider Active NPI

Oluwashola Adebola Adeniji, RN

  • Registered Nurse
  • Hanover Park, IL
National Provider Identifier
1861149601
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.481397 Issued in IL
Practice address
5660 Cambridge Way
Hanover Park, IL 60133-3658
Phone
(773) 430-2222
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.481397 IL Primary

Addresses

Primary practice location

5660 Cambridge Way
Hanover Park, IL 60133-3658

Mailing address

5660 Cambridge Way
Hanover Park, IL 60133-3658
Phone (773) 430-2222

Other names 1

  • Oluwashola Adebola Sims Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.481397ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Femite Diagnostic LLC CurrentSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1861149601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 CAMBRIDGE WAY",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333658",
            "telephone_number": "773-430-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 CAMBRIDGE WAY",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333658",
            "telephone_number": "773-430-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIJI",
        "first_name": "OLUWASHOLA",
        "middle_name": "ADEBOLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.481397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWASHOLA",
            "last_name": "SIMS",
            "middle_name": "ADEBOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.