Individual
THERESA OLUSOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
920 175TH ST STE 6, HOMEWOOD, IL 60430-2077
(708) 715-7440
(708) 365-2949
Mailing address
920 175TH ST STE 6, HOMEWOOD, IL 60430-2077
(708) 715-7440
(708) 365-2949
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.027525
IL
Other
Enumeration date
05/30/2023
Last updated
02/25/2025
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