| NPI | 1134935596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLABISI ADEWUMI Pmhnp Bc/ Nurse Practitioner 773-431-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |