Individual
MUTIATU MODUPE MOIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4621 N RACINE AVE, CHICAGO, IL 60640-4905
(773) 784-2300
Mailing address
5336 DAVIS ST, SKOKIE, IL 60077-1535
(773) 615-6099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030990
IL
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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