Olusola, Theresa

Olusola, Theresa is an individual health care provider with primary practice located at 900 Ridge Rd Ste 2M , Homewood IL 60430-1933. 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. Olusola, Theresa can be contacted via phone (708) 715-7440.

Contact Information

Primary practice address
900 Ridge Rd Ste 2M Homewood IL 60430-1933
Phone: (708) 715-7440
Fax: (708) 365-2949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.027525 Illinois

Profile Details

NPI number 1447943154
LBN Legal business name Olusola, Theresa
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated May 30th, 2023 - 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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