MEDICARE: AMINAT TITILOLA MAJEKODUNMI

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	164W00000X	Licensed Practical Nurse	043.105304	IL

General Provider Information

NPI Number	:	1831631068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINAT TITILOLA MAJEKODUNMI

Provider Business Mailing Address
First Line	:	7356C SAUERKRAUT LN
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-8151
Country	:	US
Telephone Number	:	708-407-5213
Fax Number	:

Provider Business Practice Location Address
First Line	:	7356C SAUERKRAUT LN
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-8151
Country	:	US
Telephone Number	:	708-407-5213
Fax Number	:

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

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	02/08/2026

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Directions to “ AMINAT TITILOLA MAJEKODUNMI ” Practice Location

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