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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOFOLUWA AMIYAN

Active Sole Proprietor

MOFOLUWA AMIYAN is a Nurse Practitioner healthcare provider located in RICHTON PARK, Illinois. NPI 1558787960 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · RICHTON PARK, IL

Registration Details

NPI Number
1558787960
Provider Type
Individual
Gender
Female
NPI Issued
Mar 10, 2014 (12.464448291033 yrs)
Last Updated
Feb 25, 2019
License
209011157 (IL)
Sole Proprietor
Yes

Practice Information

Address
4512 JEFFERSON DR
RICHTON PARK, IL, 604711852
Browse IL providers · Browse ZIP 60471
Phone
7082447449
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in RICHTON PARK, IL

Name Credential NPI
MRS. NICOLE JOVAN COLEMAN 1972286599
ALYSSA ZAGAJOWSKI 1578303525
ARTESIA STRONG 1013878396
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.