Healthcare Provider Details

I. General information

NPI: 1306754064
Provider Name (Legal Business Name): HARMONY OGUNGBADE C-BJD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 W CHICAGO AVE
CHICAGO IL
60651-2815
US

IV. Provider business mailing address

3741 W LYNDALE ST # 1F
CHICAGO IL
60647-2332
US

V. Phone/Fax

Practice location:
  • Phone: 773-416-0335
  • Fax:
Mailing address:
  • Phone: 773-858-7616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: