Individual
FAUSTINA ADENUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Mailing address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209024453
IL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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