Individual
REBECCA SUE TEJUMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 787-9582
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 787-9582
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041436494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474579189
—
IL
Enumeration date
05/03/2018
Last updated
05/03/2018
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