Individual provider Active NPI

Oluwakemi Udeogu, APN

  • Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1891187423
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.012536 Issued in IL
Practice address
1441 Branding Ave
#310
Downers Grove, IL 60515-1160
Phone
(630) 829-1038
Fax
(630) 829-1080
NPI assigned
Feb 18, 2015
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.012536 IL Primary

Addresses

Primary practice location

1441 Branding Ave
#310
Downers Grove, IL 60515-1160

Mailing address

1441 Branding Ave
#310
Downers Grove, IL 60515-1160

Other practice location 1

977 N Oaklawn Ave
104
Elmhurst, IL 60126-1045
Phone (630) 832-1775

Other names 1

  • Kemi Abogunrin Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address oabogunrin204945@direct.myadvocateaurora.org Direct

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
I20150429002031 IL Practitioner - Nurse Practitioner 9335468180 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Embrace Behavioral HealthGroup PAC ID 5698122109, 4 clinicians

Practice addresses (Care Compare)

1441 Branding Ave
Suite 200
Downers Grove, IL 60515-5624
Phone (630) 829-1084

1580 S Milwaukee Ave
Suite 420
Libertyville, IL 60048-3775
Phone (847) 558-1388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.012536ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Nurse Practitioner CurrentSince Mar 16, 2015 Accepting new patients
Renovare Healthcare Services Inc CurrentSince Oct 31, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Embrace Behavioral Health CurrentSince Jul 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 24, 2015 Accepting new patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients
Akuou Healthcare Services LLC CurrentSince Jul 1, 2026 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Aug 24, 2015 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

29373 Network Pl
Chicago, IL 60673

6160 N Cicero Ave
Ste 122
Chicago, IL 60646
Phone (630) 664-1329

1441 Branding Ave
Ste 200
Downers Grove, IL 60515
Phone (630) 829-1084

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

977 N Oaklawn Ave
Ste 104
Elmhurst, IL 60126
Phone (960) 832-1775

1580 S Milwaukee Ave
Ste 420
Libertyville, IL 60048
Phone (847) 558-1388

Interoperability endpoints

  • Direct secure messaging: oabogunrin204945@direct.myadvocateaurora.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1891187423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE",
            "address_2": "#310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE",
            "address_2": "#310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151160",
            "telephone_number": "630-829-1038",
            "fax_number": "630-829-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "977 N Oaklawn Ave",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601261045",
            "country_code": "US",
            "telephone_number": "630-832-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDEOGU",
        "first_name": "OLUWAKEMI",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.012536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave",
            "address_2": "#310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oabogunrin204945@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Branding Ave",
            "address_2": "#310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEMI",
            "last_name": "ABOGUNRIN",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.