Individual
OSASUMWEN IGBINOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-2200
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020851
IL
Other
Enumeration date
02/13/2020
Last updated
08/01/2025
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