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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.

OMOLOLA NICOLE OMETORUWA
NPI 1962298398
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 15, 2025
3501 N HALSTED ST, CHICAGO, IL 60657(773) 388-1600 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Omolola Nicole Ometoruwa NPPES

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

OMOLOLA NICOLE OMETORUWA (NPI 1962298398) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1962298398
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOMOLOLA NICOLE OMETORUWA
Location Address3501 N HALSTED STChicago, IL 60657-1832
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 388-1600 · Fax (773) 388-8936
Phone(773) 388-1600
Sole ProprietorYes
Enumeration DateApril 15, 2025
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1962298398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085.012277 (IL)
3501 N HALSTED ST, Chicago, IL 60657
Open in Google Maps ↗

Other Identifiers 1

Medicaid085012277IL

Other Providers at the Same Location NPPES 10

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

MS. CYBILL LISA RODRIGUEZ DMD
Dentist
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
AMANDA BOWROSEN RDH
Dental Hygienist
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
ASTARA LILLIE HALL LCPC, CADC, NCC
Counselor (Professional)
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (872) 304-4401
DR. ANGELA SHRESTHA MD
Psychiatry & Neurology (Psychiatry)
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
GRACE SMABY
Physician Assistant (Medical)
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
MILTON AGUILAR DOS SANTOS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
DR. SAM JORDAN ALICE MILLER PHARMD, RPH
Pharmacist
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600
JUSTIN LIST MD
Internal Medicine
3501 N HALSTED ST
CHICAGO, IL 60657
Cook County (773) 388-1600

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 Omolola Ometoruwa's NPI number?

The NPI number for Omolola Ometoruwa is 1962298398. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Omolola Ometoruwa located?

Omolola Ometoruwa practices at 3501 N Halsted St, Chicago, IL 60657. The listed phone number is (773) 388-1600.

What is Omolola Ometoruwa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Omolola Ometoruwa was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.