Danmole-Odimayo, Omotola Wasilat

Danmole-Odimayo, Omotola Wasilat is an sole proprietor health care provider with primary practice located at 5850 6Th Street Frontage Rd E Ste A , Springfield IL 62703-5194. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Danmole-Odimayo, Omotola Wasilat can be contacted via phone (217) 529-5046.

Contact Information

Primary practice address
5850 6Th Street Frontage Rd E Ste A Springfield IL 62703-5194
Phone: (217) 529-5046
Fax: (217) 529-6154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.006961 Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041-306705 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 209.006961 Illinois

Profile Details

NPI number 1619179041
LBN Legal business name Danmole-Odimayo, Omotola Wasilat
Credentials FNP-BC, DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Feb 7th, 2019 - about 6 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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