Active NPI
Helen Adesanya Shobande
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1871328286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209030459
- Practice address
- 2544 W Montrose Ave
Chicago, IL 60618-1537 - Phone
- (773) 712-7849
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209030459 | IL | Primary |
Addresses
Primary practice location
2544 W Montrose Ave
Chicago, IL 60618-1537
Mailing address
7001 S Morgan St Apt a
Chicago, IL 60621-1153
Phone (773) 712-7849
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 |
|---|---|---|---|---|
| I20250228002106 | IL | Practitioner - Nurse Practitioner | 4082134465 | 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
- KND Development 59 LLC
Practice addresses (Care Compare)
2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209030459 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients |
Locations
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
Organizations & group practices 24
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1871328286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 S MORGAN ST APT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606211153",
"telephone_number": "773-712-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181537",
"telephone_number": "773-712-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADESANYA SHOBANDE",
"first_name": "HELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209030459",
"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 Sep 5, 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.