Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLUWATOSIN GRACE OMOTOSHO, M.D
Deactivated Sole ProprietorOLUWATOSIN GRACE OMOTOSHO, M.D is a Family Medicine healthcare provider located in CHICAGO, Illinois. NPI 1851966865 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · CHICAGO, IL
This NPI has been deactivated.
The record was deactivated on November 14, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1851966865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2021 (1.4849315068493 yrs)
- Last Updated
- Jul 3, 2024
- Deactivated
- Nov 14, 2022
- License
-
036170232 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2734 W 87TH STCHICAGO, IL, 606523937Browse IL providers · Browse ZIP 60652
- Phone
- 7739184700
- Fax
- 7733133763
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| ANDREW M PAVLATOS | MD | 1679576201 |
| KEVIN G MURPHY | MD | 1932102563 |
| ROKEYA BEGUM AKHTAR | MD | 1780687368 |
| JAMES P CLANCY | MD | 1538162102 |
| CHRISTINE L SCHWARTZ PETERSON | MD | 1285637801 |
| MARZENA LIPINSKA | MD | 1487657078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.