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Individual

OLADIMEJI KASSIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
2740 W FOSTER AVE STE 412, CHICAGO, IL 60625-3532
(773) 878-8200
(773) 293-5346
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209012434
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20912434
IL

Other

Enumeration date
03/18/2015
Last updated
07/06/2018
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