OLUSEGUN NUTAYI


Address: 4711 Golf Rd Fl 12, Skokie, IL 60076-1224
Phone: 8882158756

OLUSEGUN NUTAYI (NPI# 1174028021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174028021
Entity Type Individual
Full Name OLUSEGUN NUTAYI
Credential NURSE PRACTITIONER
Practice Address 4711 Golf Rd Fl 12
Skokie
IL 60076-1224
Practice Telephone 8882158756
Mailing Telephone 8882158756
Enumeration Date 2018-03-23
Last Update Date 2018-03-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209017378 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4711 GOLF RD FL 12
City SKOKIE
State IL
Zip Code 60076-1224

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NPI Name Taxonomy Address Enumeration
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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
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1528504909 Desiree Cunningham Nurse Practitioner 3300 Crain St, Skokie, IL 60076-2408 2017-01-10
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
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Competitor

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City SKOKIE
Zip Code 60076

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Dataset Information

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.

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