Most Relevant Information
Provider Data
| NPI Number: | 1003280090 |
| Provider Name: | MOPELOLA O FATUGA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 400449 |
Most Important Dates
| Enumeration Date: | 11/14/2015 |
| Last Updated: | 11/14/2015 |
Provider Practice Location
1005 HEATHROW CT
WHEATON
IL
601897774
Practice Location Phone/Fax
| Phone: | 3125234742 |
| Fax: | 6307520980 |
Provider Mailing Location
1005 HEATHROW CT
WHEATON
IL
601897774
Provider Mailing Phone/Fax
| Phone: | 3125234742 |
| Fax: | 6307520980 |