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1003381757
SEGUN BABATUNDE OGUNTOBA
CHICAGO, IL
NPI
1003381757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.018124)
Enumeration Date
2018-10-09
Last Update Date
2021-04-28
Business Address
SEGUN BABATUNDE OGUNTOBA FNP
901 S AUSTIN BLVD
CHICAGO, IL 60644-5311
Phone number: 773-287-5959
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Mailing Address
SEGUN BABATUNDE OGUNTOBA FNP
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 847-235-6130
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