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Ms. Iyeokan Emmanuela Ativie, FNP-C
Family Nurse Practitioner in New Lenox, Illinois
NPI 1205421815

Iyeokan Emmanuela Ativie is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Iyeokan Emmanuela Ativie practices in New Lenox, IL and has the professional credentials of FNP-C. The NPI Number for Iyeokan Emmanuela Ativie is 1205421815 and holds a License No. 209022852 (Illinois).

The current practice location address for Iyeokan Emmanuela Ativie is 2050 Nelson Rd, New Lenox, IL and can be reached out via phone at 815-463-5281.

Location: 2050 Nelson Rd, New Lenox, IL, 60616-3330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205421815
Provider Name
Iyeokan Emmanuela Ativie
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2050 Nelson Rd, New Lenox, IL, 60616-3330
Phone Number
815-463-5281
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2050 Nelson Rd
City
New Lenox
State
Illinois
Zip
60451-8537
Phone Number
815-463-5281
Fax Number
person
Provider Business Mailing Address Details
Address
2050 Nelson Rd
City
New Lenox
State
Illinois
Zip
60451-8537
Phone Number
815-463-5281
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209022852 (Illinois)
Definition
Definition to come...
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