Healthcare Provider Details

I. General information

NPI: 1528981214
Provider Name (Legal Business Name): OLUWASEFUNMI JOAN FALOPE BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3062 E 91ST ST
CHICAGO IL
60617-4401
US

IV. Provider business mailing address

3062 E 91ST ST
CHICAGO IL
60617-4401
US

V. Phone/Fax

Practice location:
  • Phone: 773-371-2956
  • Fax:
Mailing address:
  • Phone: 773-371-2956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: