Organization
CHOSEN ONE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA OLUGBEMIGA OLUGBILE APN (OWNER)
(708) 833-9256
Entity
Organization
Contact information
Practice address
2141 E 90TH ST, CHICAGO, IL 60617-3052
(708) 833-9256
Mailing address
2141 E 90TH ST, CHICAGO, IL 60617-3052
(708) 833-9256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
03/01/2022
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