Individual
IBUKUN MICHELLE AKINWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3056 N GRESHAM AVE UNIT 1, CHICAGO, IL 60618-6709
(773) 399-9320
Mailing address
3056 N GRESHAM AVE UNIT 1, CHICAGO, IL 60618-6709
(773) 399-9320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
12/14/2023
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