Olukemi M Adeleke

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209016563 Issued in IL

Practice address

650 Warrenville Rd Ste 400
Lisle, IL 60532-4317

Phone

(630) 725-2333

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By the provider in NPPES

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

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Midwest Hospice LLC

  • Community Based Hospice Care Agency
  • Chicago Heights, IL
  • NPI 1104578129

  W-2 Managing Employee

  CMS ownership
• Vital Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Evergreen Park, IL
  • NPI 1649892126

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Longevity Accountable Care, PA

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1144078965
  Medicare reassignment
• Longevity Clinical LTC Associates of Illinois PLLC

  • Primary Care Nurse Practitioner
  • Chicago, IL
  • NPI 1407422447
  Medicare reassignment
• Vital Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Evergreen Park, IL
  • NPI 1649892126
  NPD
• Midwest Hospice LLC

  • Community Based Hospice Care Agency
  • Chicago Heights, IL
  • NPI 1104578129
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1952804361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 S INDIANA AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534594",
            "telephone_number": "301-346-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WARRENVILLE RD STE 400",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324317",
            "telephone_number": "630-725-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKE",
        "first_name": "OLUKEMI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achieve Wellness Counseling
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• Acumed Inc.
• Acupuncture Science & Chiropractic Clinic
• Krystal Adams, LCSW
• Adult Mental Health Services, Inc
• Advanced Gynecology Practice LLC (Advanced Care & Medspa)
• Advanced Lisle Dental
• Aegis Group Practice LLC
• Affinity Counseling, LLC

• Nurse Practitioner in Lisle, IL
• Providers in Lisle, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.