MEDICARE: OLANREWAJU ADEMOLA ALABI NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	041562115	IL

General Provider Information

NPI Number	:	1619705845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLANREWAJU ADEMOLA ALABI NP

Provider Business Mailing Address
First Line	:	8437 LATROBE AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2155
Country	:	US
Telephone Number	:	312-200-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	8437 LATROBE AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2155
Country	:	US
Telephone Number	:	312-200-9114
Fax Number	:

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

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	03/18/2026

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