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NPI Code Detail

MEDICARE: OLUWASEYI AFUWAPE

MEDICARE: OLUWASEYI AFUWAPE
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
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1891219200
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUWASEYI AFUWAPE
Provider Business Mailing Address
First Line : 2339 N CALIFORNIA AVE UNIT 47949
Second Line :
City : CHICAGO
State : IL
Zip : 60647-0360
Country : US
Telephone Number : 312-458-9865
Fax Number : 773-305-8082
Provider Business Practice Location Address
First Line : 3048 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6624
Country : US
Telephone Number : 312-458-9865
Fax Number : 773-305-8082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 07/27/2017

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Directions to “ OLUWASEYI AFUWAPE ” Practice Location

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