Individual
MRS. AFUSAT T OLOMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8835 S CLYDE AVE, CHICAGO, IL 60617-2904
(773) 544-0551
Mailing address
8835 S CLYDE AVE, CHICAGO, IL 60617-2904
(773) 544-0551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3299
CARE CODE
—
Enumeration date
02/18/2020
Last updated
06/19/2020
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