Individual
DR. OLALEKAN MOSES FAPOHUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APN
Contact information
Practice address
6701 159TH ST, TINLEY PARK, IL 60477-1758
(708) 429-3300
Mailing address
6701 159TH ST, TINLEY PARK, IL 60477-1758
(708) 798-9475
(708) 798-9485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.433033
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023658
IL
Other
Enumeration date
11/27/2019
Last updated
03/25/2022
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