Individual
DAMILOLA RAHMAT OLUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7225
Mailing address
726 METROPOLITAN AVE, BOLINGBROOK, IL 60490-5014
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030346
IL
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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