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Individual

DR. OLUBUSAYO AIFESEHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-C, DNP

Contact information

Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(973) 715-8871
Mailing address
15 17TH AVE, NEWARK, NJ 07103-2961
(973) 715-8871

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020246
IL

Other

Enumeration date
03/17/2008
Last updated
08/09/2021
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