Oludele David Olagoke
Nurse Practitioner, Psych/Mental Health in Calumet City, IL. Individual provider (NPI-1).
NPI number1457044802
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1457044802
- Entity type
- Individual (NPI-1)
- Name
- Oludele David Olagoke
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2023
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209.029535 | IL | Yes |
Practice location
452 Muskegon AveCalumet City, IL 60409-2348
Phone 312-493-4996
Mailing address
452 Muskegon AveCalumet City, IL 60409-2348
Phone 312-493-4996
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Calumet City, IL
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.