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Organization
TINLEY EUTHYMIA LLC
Active
Organization
TINLEY EUTHYMIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLALEKAN MOSES FAPOHUNDA DNP, APN (PSYCHIATRIC NURSE PRACTITIONER)
(708) 554-3917
Entity
Organization
Contact information
Practice address
1038 RICHARD AVE, BERKELEY, IL 60163-1026
(708) 554-3917
(708) 273-5525
Mailing address
20015 S LAGRANGE RD # 1513, FRANKFORT, IL 60423-3104
(708) 554-3917
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/14/2024
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