Individual
SAMSON OMOSHEWE OKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17843 TORRENCE AVE APT F, LANSING, IL 60438-0197
(773) 941-2693
Mailing address
17843 TORRENCE AVE APT F, LANSING, IL 60438-0197
(773) 941-2693
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
363LPO808X
IL
Other
Enumeration date
01/24/2021
Last updated
10/02/2025
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