MEDICARE: EKI OSAYI OWIE-ODION RN

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
1	163WC0400X	Case Management Registered Nurse	041527132	IL

General Provider Information

NPI Number	:	1588517841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKI OSAYI OWIE-ODION RN

Provider Business Mailing Address
First Line	:	1317 OCONTO CT
Second Line	:	1317 OCONTO CT
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-9522
Country	:	US
Telephone Number	:	312-799-9762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 OCONTO CT
Second Line	:	1317 OCONTO CT
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-9522
Country	:	US
Telephone Number	:	312-799-9762
Fax Number	:	312-799-9762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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