Balogun, Abidemi

Balogun, Abidemi is an sole proprietor health care provider with primary practice located at 410 N 2Nd St , Marshall IL 62441-1010. 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. Balogun, Abidemi can be contacted via phone (718) 506-1115.

Contact Information

Primary practice address
410 N 2Nd St Marshall IL 62441-1010
Phone: (718) 506-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209028750 Illinois

Profile Details

NPI number 1205605235
LBN Legal business name Balogun, Abidemi
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2024
Last updated Jan 2nd, 2024 - about last year

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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