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

Damilola Rahmat Olusanya

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1043043219

Damilola Rahmat Olusanya is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024

Practice location Address checks out

820 S Damen Ave
Chicago, IL 60612-3728
Phone: (312) 569-7225
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209030346 (IL)

Record details

NPI number1043043219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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