Individual
DR. GABRIEL OLUWAKOTANMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
8056 S HARPER AVE, CHICAGO, IL 60619-4637
(773) 443-6307
Mailing address
8056 SOUTH HARPER AVENUE, CHICAGO, IL 60619
(773) 443-6307
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209.011501
IL
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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