Adefeso, Modupe Olayinka

Adefeso, Modupe Olayinka is an sole proprietor health care provider with primary practice located at 3347 Church St , Evanston IL 60203-1722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Adefeso, Modupe Olayinka can be contacted via phone (847) 208-4457.

Contact Information

Primary practice address
3347 Church St Evanston IL 60203-1722
Phone: (847) 208-4457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022069013 Illinois

Profile Details

NPI number 1134832512
LBN Legal business name Adefeso, Modupe Olayinka
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2023
Last updated Jan 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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