Individual
JOHNSON JIDE OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9907 S PERRY AVE, CHICAGO, IL 60628-1347
(773) 603-3442
Mailing address
9907 S PERRY AVE, CHICAGO, IL 60628-1347
(773) 603-3442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.03789
IL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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