Individual
OLAJUMOKE ELIZABETH ADEKOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1406 E 68TH ST APT 3, CHICAGO, IL 60637-6235
(773) 782-7609
Mailing address
1406 E 68TH ST APT 3, CHICAGO, IL 60637-6235
(773) 782-7609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209022776
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71011593A
IN
Other
Enumeration date
03/04/2021
Last updated
10/13/2021
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