BUKOLA EUNICE ODUSOTE (NPI# 1124670948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124670948 |
Entity Type | Individual |
Full Name | BUKOLA EUNICE ODUSOTE |
Practice Address |
850 W Irving Park Rd Chicago IL 60613-3077 |
Practice Telephone | 7739756775 |
Mailing Telephone | 7739756775 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209019375 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICAL LICENSE | 209019375 | 01 |
Street Address |
850 W IRVING PARK RD |
City | CHICAGO |
State | IL |
Zip Code | 60613-3077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700879434 | Ricardo Machado | Internal Medicine | 850 W Irving Park Rd, Suite 102, Chicago, IL 60613-3077 | 2005-08-29 |
1790385987 | Adebowale Oyebamiji | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-10-28 |
1396350955 | Thorek Memorial Hospital | Clinic/Center | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-09-10 |
1003435868 | Jun Phan | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-04-13 |
1508332552 | Virgilio A Caramay | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-10-17 |
1457845505 | Alison Casie Chruscinski | Social Worker | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-06-20 |
1821591058 | Sarah Grace Perkins | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
1790288868 | Lakeview Health Network LLC | Health Maintenance Organization | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
1073020756 | Nanda Kishore Maddineni | Specialist/Technologist, Other | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-01-04 |
1609395383 | Ekalak Yodchai | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2017-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
Find all providers in zip 60613 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.