Individual
AYODELE MOBOLANLE OYENUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 W BODE CIR APT 213, HOFFMAN ESTATES, IL 60169-2942
(631) 889-4318
Mailing address
744 W BODE CIR APT 213, HOFFMAN ESTATES, IL 60169-2942
(631) 889-4318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043115890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043115890
IDFPR
IL
Enumeration date
12/01/2012
Last updated
12/01/2012
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