Individual
MUSTAPHA O OLUGBILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209017733
IL
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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