OMOLOLA ADEYEMI NPI 1689389629

NPI Information

  • NPI: 1689389629
  • Provider Name: OMOLOLA ADEYEMI
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 TIFFANY PT STE 110
    BLOOMINGDALE, IL
    ZIP 60108
  • Phone: (708) 382-1659

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NPI Details

Omolola Adeyemi is a psychiatric/mental health nurse practitioner in Bloomingdale, IL with 4 years of experience. Omolola Adeyemi NPI is 1689389629. 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:

1 TIFFANY PT STE 110
BLOOMINGDALE, IL
ZIP 60108-915
Phone: (708) 382-1659

The NPI 1689389629 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 1/13/2023 and was last updated on 1/13/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health209026543ILLINOISYes

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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