Balogun, Medinat Omobolanle

Balogun, Medinat Omobolanle is an individual health care provider with primary practice located at 2848 Mcdonough St , Joliet IL 60436-1050. 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, Medinat Omobolanle can be contacted via phone (815) 730-4400.

Contact Information

Primary practice address
2848 Mcdonough St Joliet IL 60436-1050
Phone: (815) 730-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209022340 Illinois

Profile Details

NPI number 1558964239
LBN Legal business name Balogun, Medinat Omobolanle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 4 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.

Request for update

Popular Providers