OLUMIDE ADEYEMO (NPI# 1700335924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700335924 |
| Entity Type | Individual |
| Full Name | OLUMIDE ADEYEMO |
| Practice Address |
4711 Golf Rd Suite 1250 Skokie IL 60076 |
| Mailing Address |
2205 Warwick Dr Springfield IL 62704-4149 |
| Practice Telephone | 8472356033 |
| Mailing Telephone | 2174140854 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014922 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.014922 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4711 GOLF RD SUITE 1250 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| 1902291644 | Peter J. Waller | Family Medicine | 9650 Gross Point Rd. Suite 2900, Skokie, IL 60076 | 2015-03-31 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223376 | Neetu Ann Mathew | Nurse Practitioner | 4900 Foster St Apt 408, Skokie, IL 60077-1359 | 2020-04-15 |
| 1548808801 | Arlette Meffo Tiam | Nurse Practitioner | 8548 Gross Point Rd, Skokie, IL 60077-2052 | 2019-12-18 |
| 1992341572 | Shila Abraham | Nurse Practitioner | 5216 Madison St, Skokie, IL 60077-2446 | 2019-11-19 |
| 1558906180 | Henelie May Gegantenio | Nurse Practitioner | 4552 Madison St, Skokie, IL 60076-2667 | 2019-11-06 |
| 1891345294 | Mark C Chua | Nurse Practitioner | 4632 Church St Ste 101, Skokie, IL 60076-1545 | 2019-09-17 |
| 1962062208 | Reena James | Nurse Practitioner | 9700 Kedvale Ave, Skokie, IL 60076-1122 | 2019-06-18 |
| 1154984847 | Mayra Alejandra Mohamad | Nurse Practitioner | 9725 Woods Dr Unit 1703, Skokie, IL 60077-4457 | 2019-04-17 |
| 1356904320 | Falguni Patel | Nurse Practitioner | 3450 Oakton St Ste 300, Skokie, IL 60076-2951 | 2019-04-16 |
| 1174028021 | Olusegun Nutayi | Nurse Practitioner | 4711 Golf Rd Fl 12, Skokie, IL 60076-1224 | 2018-03-23 |
| 1528504909 | Desiree Cunningham | Nurse Practitioner | 3300 Crain St, Skokie, IL 60076-2408 | 2017-01-10 |
| Find all providers in SKOKIE | ||||
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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.