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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABOSEDE R BABALOLA PMHNP
NPI 1104448968
Nurse Practitioner - Psychiatric/Mental Health in Bourbonnais, IL

Active since May 14, 2020PECOS Enrolled
755 ALMAR PKWY STE A, BOURBONNAIS, IL 60914(888) 428-7890 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, May 14, 2020 (2 updates tracked since 2020).

About Abosede R Babalola Pmhnp NPPES

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

ABOSEDE R BABALOLA PMHNP (NPI 1104448968) is an individual psychiatric/mental health provider in Bourbonnais, Illinois, licensed in Illinois (277002499) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104448968
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABOSEDE R BABALOLACredential: PMHNP
Location Address755 ALMAR PKWY STE ABourbonnais, IL 60914-2393
Mailing Address2214 Monarch StBourbonnais, IL 60914-2780 · (708) 941-4181
Phone(888) 428-7890
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 14, 2020
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1104448968 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 · 277002499
755 ALMAR PKWY STE A, Bourbonnais, IL 60914
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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 and accepts Medicare assignment

Abosede R Babalola Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466814249
PECOS Enrollment IDI20230810001523
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 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 7

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

ANN MARIE GROSSMAN
Counselor (Professional)
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (630) 428-7890
DEXTER ODENEAL
Social Worker
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (630) 428-7890
KELLEE J WARD LCSW
Social Worker (Clinical)
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (630) 428-7890
ROBERT J LATIKER LSW
Social Worker (Clinical)
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (888) 428-7890
MICHELLE FLORES LCPC
Counselor (Professional)
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (815) 214-9079
BENJAMIN KYLE MEILS LCPC
Counselor (Mental Health)
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (815) 315-9901
MALISSA ROBY LSW
Social Worker
755 ALMAR PKWY STE A
BOURBONNAIS, IL 60914
Kankakee County (630) 428-7890

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 Abosede Babalola's NPI number?

The NPI number for Abosede Babalola is 1104448968. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Abosede Babalola located?

Abosede Babalola practices at 755 Almar Pkwy Ste A, Bourbonnais, IL 60914. The listed phone number is (888) 428-7890.

What is Abosede Babalola's specialty?

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

Is Abosede Babalola enrolled in Medicare?

Yes. Abosede Babalola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Abosede Babalola was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.