Individual
ADETOUN FAUSAT AMURE-OSHOFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 S COTTAGE GROVE AVE, CHICAGO, IL 60653-1585
(773) 892-8428
Mailing address
3627 S COTTAGE GROVE AVE, CHICAGO, IL 60653-1585
(773) 892-8428
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
209033949
IL
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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