Bukola Omotowon
NPI 1710786264 · Psychiatric/Mental Health Nurse Practitioner · Waukegan, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bukola Omotowon is a Psychiatric/Mental Health Nurse Practitioner provider in Waukegan, IL (NPI 1710786264).
Provider details
- NPI number
- 1710786264
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.031859 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-08
Frequently asked questions
- What is Bukola Omotowon's NPI number?
- Bukola Omotowon's National Provider Identifier (NPI) is 1710786264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bukola Omotowon's specialty?
- Bukola Omotowon is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bukola Omotowon located?
- Bukola Omotowon's practice location on file with NPPES is 1741 Kayla Ln Apt 3b, Waukegan, IL 60087-5805.
- What is Bukola Omotowon's phone number?
- The practice phone number listed in the NPPES registry for Bukola Omotowon is (773) 983-8173.
- Does Bukola Omotowon accept Medicare?
- Bukola Omotowon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bukola Omotowon's NPI active?
- Yes — Bukola Omotowon's NPI (1710786264) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.