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DAMILOLA RAHMAT OLUSANYA
NPI 1043043219
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since August 23, 2024PECOS Enrolled
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-7225 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Damilola Rahmat Olusanya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMILOLA RAHMAT OLUSANYA (NPI 1043043219) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209030346) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043043219
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAMILOLA RAHMAT OLUSANYA
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address726 Metropolitan AveBolingbrook, IL 60490-5014
Phone(312) 569-7225
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1043043219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209030346
820 S DAMEN AVE, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Damilola Rahmat Olusanya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991285876
PECOS Enrollment IDI20260218003396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damilola Olusanya's NPI number?

The NPI number for Damilola Olusanya is 1043043219. It was assigned to this individual provider in the NPPES registry on August 23, 2024.

Where is Damilola Olusanya located?

Damilola Olusanya practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-7225.

What is Damilola Olusanya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Damilola Olusanya enrolled in Medicare?

Yes. Damilola Olusanya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damilola Olusanya was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.