Most Relevant Information
Provider Data
| NPI Number: | 1003666884 |
| Provider Name: | OPEYEMI OBIWUMI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
1620 W HARRISON ST
CHICAGO
IL
606123801
Practice Location Phone/Fax
| Phone: | 3129425000 |
| Fax: |
Provider Mailing Location
1620 W HARRISON ST
CHICAGO
IL
606123801
Provider Mailing Phone/Fax
| Phone: | 3129425000 |
| Fax: |