BUKOLA EUNICE ADEAGBO – Psychiatric/Mental Health Nurse Practitioner, NPI 1124670948

BUKOLA EUNICE ADEAGBO is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209019375 (IL). The NPI Number for BUKOLA EUNICE ADEAGBO is 1124670948

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BUKOLA EUNICE ADEAGBO
NPI
1124670948
Phone
(773) 975-6775
Address
850 W IRVING PARK RD
Enumeration Date
11 July 2019
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735256780
Graduation Year
2019 (7 years ago)
PAC ID
0840622577
Group Practice PAC ID
4082668405
Professional Enrollment ID
I20191118001455
Address ID
IL606133099CH850XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for BUKOLA EUNICE ADEAGBO

  • Thorek Memorial Hospital, 850, West Irving Park Road, Buena Park, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606133077

    Phone: (773) 975-6775

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-11-18

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
I20191118001455INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes533109$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes156107$0
90791Psychiatric diagnostic evaluation3533$0
99238Hospital discharge day management, 30 minutes or less2623$0
View full utilization report →

Insurance plans in this area (ZIP 60613)

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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: 4082668405View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YOH
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Family PracticeIL
-IL

Reviews

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Frequently asked questions

What is BUKOLA EUNICE ADEAGBO's NPI number?
BUKOLA EUNICE ADEAGBO's NPI is 1124670948 — the number used across U.S. healthcare to identify this provider.
Would BUKOLA EUNICE ADEAGBO appear as active to a payer?
You can treat BUKOLA EUNICE ADEAGBO as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BUKOLA EUNICE ADEAGBO?
BUKOLA EUNICE ADEAGBO is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is BUKOLA EUNICE ADEAGBO located near Chicago?
BUKOLA EUNICE ADEAGBO currently maps to Chicago, Illinois in this extract.
Can I trust this NPI listing for BUKOLA EUNICE ADEAGBO?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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