Individual
MOBOLAJI KAZEEM OGUNMODEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3320 TALL GRASS DR, NAPERVILLE, IL 60564-4445
(770) 312-1003
Mailing address
830 E 191ST PL APT 710, GLENWOOD, IL 60425-1934
(847) 532-8152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005212
IL
Other
Enumeration date
05/25/2020
Last updated
06/24/2025
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