OLUMIDE SAMSON FAGBEMI

CALUMET CITY, IL
NPI1013163765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.022296)
Enumeration Date2008-08-13
Last Update Date2020-11-18
Business Address
Mr. OLUMIDE SAMSON FAGBEMI NP
1118 LUCAS ST
CALUMET CITY, IL 60409-2408
Phone number: 708-785-2238
Mailing Address
Mr. OLUMIDE SAMSON FAGBEMI NP
1118 LUCAS ST
CALUMET CITY, IL 60409-2408
Phone number: 708-785-2238