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Individual

MRS. KEHINDE CHRISTIANA FAGBEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
516 E 45TH ST, CHICAGO, IL 60653-3421
(708) 662-0493
Mailing address
516 E 45TH ST, CHICAGO, IL 60653-3421
(708) 662-0493

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209018916
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209018916
IL

Other

Enumeration date
03/05/2019
Last updated
07/17/2024
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