Individual
TESLIM O OPAKUNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6775
(863) 268-5111
Mailing address
10449 VENICE LN, ORLAND PARK, IL 60467-8218
(708) 692-7791
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012902
IL
363LP2300X
Primary Care Nurse Practitioner
209012902
IL
Other
Enumeration date
05/19/2015
Last updated
10/07/2020
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