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General NPI Number Information
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NPI Number | 1164182150
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Entity Type | Individual
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Provider Name | OMOLARA AMINAT OSHOKOYA APRN
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Gender | Female
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Dates
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Enumeration Date | 12/18/2021
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 20 BRIARCLIFF LN
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1665
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Country | US
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Telephone | 708-785-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 6828 171ST ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-3724
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Country | US
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Telephone | 312-878-5588
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Fax | 312-900-9373
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277004393
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License Number State | IL
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