Individual
NATISHA OLASENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 W. 63RD STREET, CHICAGO, IL 60411
(708) 491-1306
Mailing address
641 W 63RD ST, CHICAGO, IL 60621-2032
(708) 491-1306
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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