Individual
ABIOLA ODUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
2942 201ST ST, LYNWOOD, IL 60411-1566
(773) 968-4041
Mailing address
2942 201ST ST, LYNWOOD, IL 60411-1566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
041371256
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032899
IL
Other
Enumeration date
07/23/2025
Last updated
04/28/2026
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