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Olusoji Taiwo Oyedapo
Licensed Practical Nurse in Country Club Hills, Illinois
NPI 1508468141

Olusoji Taiwo Oyedapo is a Licensed Practical Nurse based in Country Club Hills, IL. Olusoji Taiwo Oyedapo practices in Country Club Hills, IL. The NPI Number for Olusoji Taiwo Oyedapo is 1508468141 and holds a License No. 043.128404 (Illinois).

The current practice location address for Olusoji Taiwo Oyedapo is 17831 Fairoaks Dr, Country Club Hills, IL and can be reached out via phone at 773-225-6904.

Location: 17831 Fairoaks Dr, Country Club Hills, IL, 60478-2929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508468141
Provider Name
Olusoji Taiwo Oyedapo
Credential
Provider Entity Type
Individual
Gender
Male
Address
17831 Fairoaks Dr, Country Club Hills, IL, 60478-2929
Phone Number
773-225-6904
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-3820733 01 IL IRS
institution
Provider Business Practice Location Address Details
Address
17831 Fairoaks Dr
City
Country Club Hills
State
Illinois
Zip
60478-2929
Phone Number
773-225-6904
Fax Number
person
Provider Business Mailing Address Details
Address
17831 Fairoaks Dr
City
Country Club Hills
State
Illinois
Zip
60478-2929
Phone Number
773-225-6904
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.128404 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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