MODUPE O OLUKEYE NURSE PRACTITIONER NPI 1295301315

NPI Information

  • NPI: 1295301315
  • Provider Name: MODUPE O OLUKEYE, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2525 S MICHIGAN AVE
    CHICAGO, IL
    ZIP 60616
  • Phone: (773) 564-3882

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NPI Details

Modupe O Olukeye, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Chicago, IL. Modupe O Olukeye, NURSE PRACTITIONER NPI is 1295301315. 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:

2525 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616-315
Phone: (773) 564-3882

The NPI 1295301315 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 5/29/2021 and was last updated on 10/29/2024.

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
1163W00000XRegistered Nurse041409665ILLINOISNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health209.023284ILLINOISYes

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: 11/21/2025

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