Alexis Oduyale, APRN - Nurse Practitioner in Northbrook, IL

Alexis Oduyale, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Northbrook, Illinois. Alexis Oduyale is licensed to practice in Illinois (license number 209023210) and her current practice location is 60 Revere Dr Ste 100, Northbrook, Illinois. She can be reached at her office (for appointments etc.) via phone at (224) 306-1879.

NPI number for Alexis Oduyale is 1134546112 and her current mailing address is 108 W Market St, Bloomington, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134546112.

Contact Information

Alexis Oduyale, APRN
60 Revere Dr Ste 100,
Northbrook, IL 60062-1590
(224) 306-1879
(224) 306-1878

Map and Direction




Provider's Profile

Full NameAlexis Oduyale
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location60 Revere Dr Ste 100, Northbrook, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134546112
  • Provider Enumeration Date: 03/27/2014
  • Last Update Date: 10/11/2022

Medical Identifiers

Medical identifiers for Alexis Oduyale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134546112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209023210 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Oduyale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexis Oduyale, APRN
108 W Market St,
Bloomington, IL 61701-3918

Ph: (309) 827-5351
Alexis Oduyale, APRN
60 Revere Dr Ste 100,
Northbrook, IL 60062-1590

Ph: (224) 306-1879

Reviews and Comments


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