person
Mrs. Modupe Olayinka Adefeso, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Evanston, Illinois
NPI 1134832512

Modupe Olayinka Adefeso is a Psychiatric/Mental Health Nurse Practitioner based in Evanston, IL and is specialized in Psychiatric/Mental Health. Modupe Olayinka Adefeso practices in Evanston, IL and has the professional credentials of PMHNP-BC. The NPI Number for Modupe Olayinka Adefeso is 1134832512 and holds a License No. 2022069013 (Illinois).

The current practice location address for Modupe Olayinka Adefeso is 3347 Church St, Evanston, IL and can be reached out via phone at 847-208-4457.

Location: 3347 Church St, Evanston, IL, 60203-1722
person
Provider Profile Details
NPI Number
1134832512
Provider Name
Modupe Olayinka Adefeso
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3347 Church St, Evanston, IL, 60203-1722
Phone Number
847-208-4457
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3347 Church St
City
State
Zip
60203-1722
Phone Number
847-208-4457
Fax Number
person
Provider Business Mailing Address Details
Address
3347 Church St
City
State
Zip
60203-1722
Phone Number
847-208-4457
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2022069013 (Illinois)
Definition
Definition to come...
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