Healthcare Provider Details

I. General information

NPI: 1588517841
Provider Name (Legal Business Name): EKI OSAYI OWIE-ODION RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 OCONTO CT 1317 OCONTO CT
NAPERVILLE IL
60564-9522
US

IV. Provider business mailing address

1317 OCONTO CT 1317 OCONTO CT
NAPERVILLE IL
60564-9522
US

V. Phone/Fax

Practice location:
  • Phone: 312-799-9762
  • Fax: 312-799-9762
Mailing address:
  • Phone: 312-799-9762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number041527132
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: