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Individual

MODUPE OJUETIMI OLUKEYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
2206 W GREENLEAF AVE, CHICAGO, IL 60645-4804
(773) 234-1067
Mailing address
333 S STATE ST STE 200, CHICAGO, IL 60604-3946
(312) 747-0036
(312) 747-2205

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041409665
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023284
IL

Other

Enumeration date
05/29/2021
Last updated
12/16/2025
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