Individual
IMUENTIYAN FAITH OYESIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(331) 225-1441
(312) 900-8913
Mailing address
836 S SPRING RD, ELMHURST, IL 60126-4726
(312) 779-6778
(312) 900-8913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002851
IL
Other
Enumeration date
08/23/2020
Last updated
06/21/2024
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