Organization
RADIANCE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDOWU OLUGBENGA OSHOKOYA APRN, PMHNP-BC (EXECUTIVE MANAGER)
(312) 878-5588
Entity
Organization
Contact information
Practice address
20550 S LAGRANGE RD STE 3, FRANKFORT, IL 60423-1811
(312) 878-5588
(312) 900-9373
Mailing address
20550 S LAGRANGE RD STE 3, FRANKFORT, IL 60423-1811
(312) 878-5588
(312) 900-9373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
08/26/2024
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