Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OYEYEMI ANTHONY SHODIYA
Active Sole ProprietorOYEYEMI ANTHONY SHODIYA is a Gerontological Nurse Practitioner healthcare provider located in OAK FOREST, Illinois. NPI 1841946944 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · OAK FOREST, IL
Registration Details
- NPI Number
- 1841946944
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2022 (4.494548911948 yrs)
- Last Updated
- Apr 5, 2022
- Licenses
-
041463053 (IL)209025058 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15928 LECLAIRE AVE APT A206OAK FOREST, IL, 604523911Browse IL providers · Browse ZIP 60452
- Phone
- 7088641818
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
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.