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

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