Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABIDEMI BALOGUN, PMHNP
Active Sole ProprietorABIDEMI BALOGUN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MARSHALL, Illinois. NPI 1205605235 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MARSHALL, IL
Registration Details
- NPI Number
- 1205605235
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2024 (2.5780051926789 yrs)
- Last Updated
- Jan 2, 2024
- License
-
209028750 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 N 2ND STMARSHALL, IL, 624411010Browse IL providers · Browse ZIP 62441
- Phone
- 7185061115
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.