IndividualActive
Anthony Onakorame
NPI 1639021207 · Psychiatric/Mental Health Nurse Practitioner · Bolingbrook, IL
Provider details
- NPI number
- 1639021207
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209034775 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Remington Blvd
Bolingbrook, IL 60440-3525
Phone: (773) 800-6056
Street-level locationGet directions
Mailing address
500 Remington Blvd
Bolingbrook, IL 60440-4906
Registry dates
- Enumerated
- 2026-02-13
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.