Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

OLASUNKANMI OGEDEGBE
NPI 1205372067
Nurse Practitioner - Family in Skokie, IL

Active since January 17, 2017PECOS Enrolled
4711 GOLF RD, SUITE 1250, SKOKIE, IL 60076(847) 235-6130 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Apr 10, 2017, Jan 17, 2017 (3 updates tracked since 2017).

About Olasunkanmi Ogedegbe NPPES

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

OLASUNKANMI OGEDEGBE (NPI 1205372067) is an individual family provider in Skokie, Illinois, licensed in Illinois (209015463) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205372067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLASUNKANMI OGEDEGBE
Location Address4711 GOLF RD, SUITE 1250Skokie, IL 60076-1224
Mailing Address355 E Erie StChicago, IL 60611-3167 · (312) 238-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 17, 2017
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1205372067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209015463
4711 GOLF RD, Skokie, IL 60076

Secondary Practice Location 1

Location 1355 E Erie StChicago, IL 60611-3167 · Phone (312) 238-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olasunkanmi Ogedegbe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284910704
PECOS Enrollment IDI20170418002541
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 60076 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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4711 GOLF RD
SKOKIE, IL 60076
Chiropractor
4711 GOLF RD, SUITE 413
SKOKIE, IL 60076
Speech-Language Pathologist
4711 GOLF RD, SUITE 1100
SKOKIE, IL 60076
Speech-Language Pathologist
4711 GOLF RD, SUITE 100
SKOKIE, IL 60076
Physician Assistant
4711 GOLF RD, SUITE 1200
SKOKIE, IL 60076
Clinic/Center
4711 GOLF RD, SUITE 414
SKOKIE, IL 60076
Psychologist (Clinical)
4711 GOLF RD, SUITE 400
SKOKIE, IL 60076
Nurse Practitioner (Adult Health)
4711 GOLF RD, SUITE 807
SKOKIE, IL 60076

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 Olasunkanmi Ogedegbe's NPI number?

The NPI number for Olasunkanmi Ogedegbe is 1205372067. It was assigned to this individual provider in the NPPES registry on January 17, 2017.

Where is Olasunkanmi Ogedegbe located?

Olasunkanmi Ogedegbe practices at 4711 Golf Rd Suite 1250, Skokie, IL 60076. The listed phone number is (847) 235-6130.

What is Olasunkanmi Ogedegbe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olasunkanmi Ogedegbe enrolled in Medicare?

Yes. Olasunkanmi Ogedegbe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olasunkanmi Ogedegbe was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.