Healthcare Provider Details

I. General information

NPI: 1447776455
Provider Name (Legal Business Name): OLUTUNMIKE KUYORO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W KINZIE ST STE 1130
CHICAGO IL
60654-5826
US

IV. Provider business mailing address

30 TOWER CT STE F
GURNEE IL
60031-3322
US

V. Phone/Fax

Practice location:
  • Phone: 773-794-1818
  • Fax:
Mailing address:
  • Phone: 847-662-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.168800
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number036.168800
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: