TAWAKALITU AFOLASHADE BABAWALE – Nurse Practitioner, NPI 1043820517

TAWAKALITU AFOLASHADE BABAWALE is a healthcare provider. based in Hazel crest, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209021671 (IL). The NPI Number for TAWAKALITU AFOLASHADE BABAWALE is 1043820517

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAWAKALITU AFOLASHADE BABAWALE
NPI
1043820517
Phone
(773) 719-0070
Address
3710 VILLAGE DR
Enumeration Date
8 August 2020
Last Update Date
8 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737685000
Graduation Year
2020 (6 years ago)
PAC ID
1557770427
Group Practice PAC ID
6608765417
Professional Enrollment ID
I20210505000830
Address ID
IL606174225CH9119XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TAWAKALITU AFOLASHADE BABAWALE

  • 3710 VILLAGE DR

    HAZEL CREST, IL 604292441

    Phone: (773) 719-0070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($116).

Total Amount

$116

General + Research + Ownership

Payments

1

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210505000830INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608765417View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIN
Family PracticeTX
Nurse PractitionerIL
Internal Medicine, Geriatric MedicineIL
-IL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What unique ID ties claims to TAWAKALITU AFOLASHADE BABAWALE?
NPI 1043820517 is assigned to TAWAKALITU AFOLASHADE BABAWALE under the national enumeration system.
Is TAWAKALITU AFOLASHADE BABAWALE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TAWAKALITU AFOLASHADE BABAWALE's specialty in plain language?
Clinically, the directory lists TAWAKALITU AFOLASHADE BABAWALE with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for TAWAKALITU AFOLASHADE BABAWALE?
The page summarizes Hazel Crest, Illinois for TAWAKALITU AFOLASHADE BABAWALE; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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