Healthcare Provider Details

I. General information

NPI: 1902729288
Provider Name (Legal Business Name): MRS. ATINUKE OLUSEUN OBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6517 N CALIFORNIA AVENUE, APT 203
CHICAGO IL
60645
US

IV. Provider business mailing address

6517 N CALIFORNIA AVENUE, APT 203
CHICAGO IL
60645
US

V. Phone/Fax

Practice location:
  • Phone: 773-552-7753
  • Fax:
Mailing address:
  • Phone: 224-489-2239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1012387
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: