Individual
SABITIYU K FOLAWIYO-SABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
700 W LINCOLN ST, PONTIAC, IL 61764-2323
(815) 842-2816
Mailing address
2653 W OGDEN AVE, CHICAGO, IL 60608-1647
(773) 257-6672
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209022450
IL
Other
Enumeration date
11/30/2020
Last updated
10/07/2022
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