Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolatito Olubukola Ogunsanwo, APRN, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619747219

Bolatito Olubukola Ogunsanwo, APRN, CNP is a Nurse Practitioner in Woodstock, Illinois. Qualified in 2023, 3 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3707 Doty Rd
Woodstock, IL 60098-7530
Phone: (815) 334-5018
Fax: (815) 206-2822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1620 W Harrison St, Chicago, IL 60612-3801 — (312) 947-0565

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209028763 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209.028763 (IL)

Record details

NPI number1619747219
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorYes
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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