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NPI Code Detail

MEDICARE: OLABISI KEHINDE ADEWUMI

MEDICARE:   OLABISI KEHINDE ADEWUMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209.028136IL

General Provider Information

NPI Number : 1396510459
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLABISI KEHINDE ADEWUMI
Provider Business Mailing Address
First Line : 717 BRIGHTON CIR
Second Line :
City : PORT BARRINGTON
State : IL
Zip : 60010-7039
Country : US
Telephone Number : 773-431-8475
Fax Number :
Provider Business Practice Location Address
First Line : 717 BRIGHTON CIR
Second Line :
City : PORT BARRINGTON
State : IL
Zip : 60010-7039
Country : US
Telephone Number : 773-431-8475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2023
Last Update Date : 11/20/2023

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Directions to “ OLABISI KEHINDE ADEWUMI ” Practice Location

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