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Abidemi Balogun, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Marshall, Illinois
NPI 1205605235

Abidemi Balogun is a Psychiatric/Mental Health Nurse Practitioner based in Des Plaines, IL and is specialized in Psychiatric/Mental Health. Abidemi Balogun practices in Marshall, IL and has the professional credentials of PMHNP. The NPI Number for Abidemi Balogun is 1205605235 and holds a License No. 209028750 (Illinois).

The current practice location address for Abidemi Balogun is 410 N 2Nd St, Marshall, IL and can be reached out via phone at 718-506-1115.

Location: 410 N 2Nd St, Marshall, IL, 60018-2991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205605235
Provider Name
Abidemi Balogun
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
410 N 2Nd St, Marshall, IL, 60018-2991
Phone Number
718-506-1115
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
410 N 2Nd St
City
Marshall
State
Illinois
Zip
62441-1010
Phone Number
718-506-1115
Fax Number
person
Provider Business Mailing Address Details
Address
410 N 2Nd St
City
Marshall
State
Illinois
Zip
62441-1010
Phone Number
718-506-1115
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209028750 (Illinois)
Definition
Definition to come...
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