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Active NPI 1619747219 Individual Practitioner Female Practitioner

Bolatito Olubukola Ogunsanwo , APRN, CNP

Nurse Practitioner • Woodstock, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Bolatito Ogunsanwo, APRN, CNP is a certified Nurse Practitioner practicing in Woodstock, IL. With approximately 3 years of clinical experience since completing medical education in 2023, Bolatito Ogunsanwo delivers high-quality medical care to the local community at 3707 DOTY RD.

Bolatito Ogunsanwo is affiliated with Central Dupage Physician Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

3707 Doty Rd

Woodstock, IL 600987530

Telephone 8153345018
Fax 8152062822
Associated Practice Facility / Clinic
🏢 Swedishamerican Hospital Facility NPI 1356466312

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Woodstock, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Woodstock, IL (4929 Statewide)

Telehealth Adoption Rate
63.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ogunsanwo (3 Years) 3 Yrs
Woodstock Specialty Average (9.5 Years) 9.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-07-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209028763

(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.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License IL 209.028763

Definition to come...

Hospital & Practice Group Affiliations

Central Dupage Physician Group

3707 Doty Rd, Woodstock, IL 600987530

Phone: 8153345018

Secondary Practice Locations

1620 W Harrison St

Chicago, IL 606123801

Phone: 3129470565

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jorge Roman

Social Worker - Clinical

NPI 1003343096
Karen Senica , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174086599

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Joy Valko , PsyD

Psychologist - Clinical

NPI 1174846141

Doctor of Psychology (Psy.D.)

Shelly Bauer , CNP

Nurse Practitioner - Family

NPI 1225202492

Certified Nurse Practitioner

Joanna Hansen , PMHNP-BC

Nurse Practitioner

NPI 1346891264

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tracy Mcdonald

Nurse Practitioner

NPI 1417212150

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 23, 2024

Registered at 3707 DOTY RD, WOODSTOCK, IL 600987530 (Tel: 8153345018)

📍
Updated Business Mailing Address July 23, 2024

Registered at 3707 DOTY RD, WOODSTOCK, IL 600987530 (Tel: 8153345018)

👤
Provider Name / Credentials Updated July 23, 2024

Recorded as BOLATITO OGUNSANWO, APRN, CNP

👤
Provider Name / Credentials Updated May 01, 2024

Recorded as BOLATITO OGUNSANWO

NPI Profile Active January 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2024

Registered at 1620 W HARRISON ST, CHICAGO, IL 606123801 (Tel: 3129470565)

📍
Updated Business Mailing Address January 04, 2024

Registered at 12339 GARLIEB DR, HUNTLEY, IL 601426067 (Tel: 7737279391)

👤
Provider Name / Credentials Updated January 04, 2024

Recorded as ROLATITO OGUNSANWO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2024

Nurse Practitioner (License #209.028763 in IL)

🟢
Initial NPI Registration & Enumeration January 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619747219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2024
Last Update: July 23, 2024
Sole Proprietor: Yes

Mailing Address

3707 Doty Rd

Woodstock, IL 600987530

Phone: 8153345018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.