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

Mofoluwa Amiyan

Individual provider Nurse Practitioner · NPI 1558787960

Mofoluwa Amiyan is a Nurse Practitioner in Richton Park, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2012, 14 years ago. Practices with Uhs of Hartgrove, Inc, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2014

Practice location Address checks out

4512 Jefferson Dr
Richton Park, IL 60471-1852
Phone: (708) 244-7449
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209011157 (IL)

Record details

NPI number1558787960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2014
Last updated in NPPESFebruary 25, 2019
Mailing address4512 Jefferson Dr, Richton Park, IL 60471-1852

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2012 (14 years in practice)
Group practice Uhs Of Hartgrove, Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Richton Park