JOAN AJIDE NPI 1013512243

NPI Information

NPI: 1013512243
Provider Name: JOAN AJIDE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
977 LAKEVIEW PKWY
VERNON HILLS, IL
ZIP 60061
Phone: (847) 367-1611
Get Directions

Joan Ajide is a psychiatric/mental health nurse practitioner in Vernon Hills, IL with 5 years of experience. Joan Ajide NPI is 1013512243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

977 LAKEVIEW PKWY
VERNON HILLS, IL
ZIP 60061-400
Phone: (847) 367-1611

The NPI 1013512243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 2/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	041342473	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209022486	ILLINOIS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209022466	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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