Bashiru Oladele Babawale, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019037 Issued in IL

Practice address

3710 Village Dr
Hazel Crest, IL 60429-2441

Phone

(773) 719-0070

NPI assigned

Mar 18, 2019

Sex

Male

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, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elder Care Physicians LLCGroup PAC ID 6204201254, 6 clinicians

J C Medical Group LTDGroup PAC ID 4082668405, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, Chicago, IL, CCN 140181
• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• Methodist Hospital of Chicago Hospital, Chicago, IL, CCN 140197

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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.

• Elder Care Physicians LLC

  • Internal Medicine Physician
  • Lombard, IL
  • NPI 1558068700

  IL

  Medicare reassignment Care Compare group NPD
• J C Medical Group LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407961592

  IL

  Medicare reassignment Care Compare group NPD
• Yusuf Salah LLC

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1982254850

  Family, IL

  Medicare reassignment NPD
• Partners in Hope Indiana LLC

  • Psychiatry Physician
  • West Lafayette, IN
  • NPI 1578150264

  IN

  Medicare reassignment NPD
• Teibo Healthcare Consulting Inc

  • Primary Care Clinic/Center
  • Hazel Crest, IL
  • NPI 1023731882
  NPD (past) Authorized official

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

• South Shore Hospital Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1053391359

  Hospital

  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351

  Hospital

  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1982163085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 VILLAGE DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 VILLAGE DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292441",
            "telephone_number": "773-719-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAWALE",
        "first_name": "BASHIRU",
        "middle_name": "OLADELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aunt Martha'S Youth Service Center, Inc.
• Avid Care Devices LLC
• Avid Primary Care LLC
• Avid Urgent Care LLC
• Lynda C Azubuike, RPH
• Tawakalitu Afolashade Babawale
• Mohammed Badaruddin
• Lauren Baffo, MSN, APRN, FNP-C
• Marwan Baghdan, MD
• Susan Marie Balthazor, OTR

• All providers in Hazel Crest, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.