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FADESIRE O AJUWON APN
NPI 1598202897
Nurse Practitioner in Chicago, IL

Active since January 24, 2017
4218 S KING DR, 1N, CHICAGO, IL 60653(708) 705-5841(773) 751-2250 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 20, 2018, Jan 24, 2017 (2 updates tracked since 2017).

About Fadesire O Ajuwon Apn NPPES

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

FADESIRE O AJUWON APN (NPI 1598202897) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209-014405) and active in the NPI registry since January 2017. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1598202897
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFADESIRE O AJUWONCredential: APN
Location Address4218 S KING DR, 1NChicago, IL 60653
Mailing Address355 E Erie StChicago, IL 60611-3167 · (312) 238-1000
Phone(708) 705-5841
Fax(773) 751-2250
Sole ProprietorYes
Enumeration DateJanuary 24, 2017
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
✔ NPI 1598202897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-014405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 209014405 (IL)
4218 S KING DR, Chicago, IL 60653
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Secondary Practice Location 1

Location 14218 S King Dr, 1NChicago, IL 60653-3298 · Phone (708) 705-5841 · Fax (773) 751-2250

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 Fadesire Ajuwon's NPI number?

The NPI number for Fadesire Ajuwon is 1598202897. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is Fadesire Ajuwon located?

Fadesire Ajuwon practices at 4218 S King Dr 1N, Chicago, IL 60653. The listed phone number is (708) 705-5841.

What is Fadesire Ajuwon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Fadesire Ajuwon was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.