Individual
TEMITOPE OLUTADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Mailing address
120 S MARION ST, OAK PARK, IL 60302-2809
(773) 629-1231
(708) 383-7780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209024131
IL
Other
Enumeration date
10/18/2021
Last updated
09/12/2024
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