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Individual

ADESHALEWA ADEMOYO-OPAKUNLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 W IRVING PARK RD, STE 301, CHICAGO, IL 60613-3011
(773) 975-3269
(773) 975-3270
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 491-1426
(812) 492-6426

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006780
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209006780
IL

Other

Enumeration date
10/09/2007
Last updated
04/04/2023
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