Individual
RUKAYAT OMOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-4100
(773) 344-3158
Mailing address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(312) 307-0978
(773) 344-3158
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209024372
IL
Other
Enumeration date
12/02/2021
Last updated
10/18/2024
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