Most Relevant Information
Provider Data
| NPI Number: | 1003689308 |
| Provider Name: | OLUWATOSIN OLAYEYE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LC0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.027842 |
Most Important Dates
| Enumeration Date: | 10/30/2023 |
| Last Updated: | 02/23/2024 |
Provider Practice Location
1775 DEMPSTER ST STE AIP
PARK RIDGE
IL
600681143
Practice Location Phone/Fax
| Phone: | 7738955075 |
| Fax: |
Provider Mailing Location
1775 DEMPSTER ST STE AIP
PARK RIDGE
IL
600681143
Provider Mailing Phone/Fax
| Phone: | 7082835500 |
| Fax: | 7086841028 |