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General NPI Number Information
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NPI Number | 1336097203
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Entity Type | Individual
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Provider Name | MELROSE OGUNLEYE
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 22307 CENTRAL PARK AVE
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City | PARK FOREST
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State | IL
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Zip | 60466-1967
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Country | US
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Telephone | 312-823-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 21394 BROWN DR
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City | FRANKFORT
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State | IL
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Zip | 60423-9454
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Country | US
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Telephone | 312-823-8485
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.549237
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License Number State | IL
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