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Individual

TOBI SAMUEL ADEBOYEJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1632 W COLONIAL PKWY, INVERNESS, IL 60067-4725
(331) 275-6095
Mailing address
1632 W COLONIAL PKWY, INVERNESS, IL 60067-4725
(847) 510-7046
(847) 631-3760

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041502151
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209035234
IL

Other

Enumeration date
12/19/2023
Last updated
04/17/2026
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