Individual
MRS. MODUPE OLAYINKA ADEFESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3347 CHURCH ST, EVANSTON, IL 60203-1722
(847) 208-4457
Mailing address
3347 CHURCH ST, EVANSTON, IL 60203-1722
(847) 208-4457
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022069013
IL
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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