Active NPI
Folarin O Odueyungbo, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209005908
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1379 - Phone
- (630) 933-6675
- Fax
- (630) 933-2614
- NPI assigned
- May 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209005908 | IL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 3737 | WI |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675
Other practice location 1
707 S University Ave
Beaver Dam, WI 53916-3027
Phone (920) 887-7181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL, MI, WI
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000017 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941223937 | Reassigns benefits to 2 organizations |
| I20060124000541 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941223937 | Reassigns benefits to 5 organizations |
| I20060918000327 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941223937 | Reassigns benefits to 2 organizations |
| I20090728000493 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941223937 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaver Dam Community Hospitals Inc.
Practice addresses (Care Compare)
705 S University Ave
MMC Beaver Dam Medical Offices
Beaver Dam, WI 53916-3053
Phone (920) 887-7181
707 S University Ave
MMC Beaver Dam Hospital
Beaver Dam, WI 53916-3027
Phone (920) 887-7181
Hospital & facility affiliations
- Marshfield Medical Center - Beaver Dam (MMC-BD)
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005908 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsol Anesthetists of Illinois, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Stat Anesthesia Specialists, LTD. | Past | Accepting new patients | |
| Interventional Pain Management, LTD. | Past | Accepting new patients | |
| American Anesthesiology of Illinois, LLC | Past | Accepting new patients |
Locations
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
29980 Network Pl
Chicago, IL 60673
185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611
10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Organizations & group practices 35
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
IL
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
IL, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
MI
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1932157294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-6675",
"fax_number": "630-933-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-933-6675",
"fax_number": "630-933-2614"
}
],
"practiceLocations": [
{
"address_1": "707 S University Ave",
"address_purpose": "LOCATION",
"city": "Beaver Dam",
"state": "WI",
"postal_code": "539163027",
"country_code": "US",
"telephone_number": "920-887-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODUEYUNGBO",
"first_name": "FOLARIN",
"middle_name": "O",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209005908",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "3737",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.