Most Relevant Information
Provider Data
| NPI Number: | 1003646787 |
| Provider Name: | CAROLINE ODIOR SHODUNOLA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2024060378 |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
595 ANITA ST # 595A
DES PLAINES
IL
600162934
Practice Location Phone/Fax
| Phone: | 7734751210 |
| Fax: |
Provider Mailing Location
595 ANITA ST # 595A
DES PLAINES
IL
600162934
Provider Mailing Phone/Fax
| Phone: | 7734751210 |
| Fax: |