OLALEKAN OLUMUYIWA FASOGBON

CHICAGO, IL
NPI1487442158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.032300)
Enumeration Date2025-04-30
Last Update Date2025-08-13
Business Address
OLALEKAN OLUMUYIWA FASOGBON PMHNP
10935 S HALSTED ST
CHICAGO, IL 60628-3127
Phone number: 773-419-0138
Mailing Address
OLALEKAN OLUMUYIWA FASOGBON PMHNP
11724 S JUSTINE ST
CHICAGO, IL 60643-5028
Phone number: 773-419-0138
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