Gladys Priscilla Odoi, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209303412 Issued in IL

Practice address

4440 W 95TH St FL 8
Oak Lawn, IL 60453-2600

Phone

(708) 684-4200

Fax

(708) 520-1885

NPI assigned

Mar 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gladys Odoi Other name

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pure Health Physical Medicine, LLCGroup PAC ID 8426296005, 4 clinicians

Evocare Wound Solutions PAGroup PAC ID 5597292011, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Pure Health Physical Medicine, LLC

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1134466162
  Medicare reassignment Care Compare group NPD
• Evocare Wound Solutions PA

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
  • NPI 1922827872
  Medicare reassignment Care Compare group
• Evohome Medical Corporation

  • General Practice Physician
  • Chicago, IL
  • NPI 1346036720
  Medicare reassignment
• Olson Chiropractic, Inc.

  • Chiropractor
  • Aurora, IL
  • NPI 1932292992
  NPD
• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  NPD (past)

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1942050174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST FL 8",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4200",
            "fax_number": "708-520-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOI",
        "first_name": "GLADYS",
        "middle_name": "PRISCILLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209303412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "godoi272414@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 W 95th St Fl 8",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St Fl 8",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "ODOI",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oda Solutions, Inc
• Bianca Oddo
• Adeeb F. Odeh, LCPC
• Jallwa Mahmoud Odeh, NP-C
• Samar Odeh
• Walah Odtallah
• Olajumoke Odunuyi
• Keisha Odunze, MD
• Crystal Oehmen
• Lauren Elizabeth Oganovich, PSY.D.

• Nurse Practitioner in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.