Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. OMOTOLA IYADUNNI BALOGUN, OTR
ActiveMS. OMOTOLA IYADUNNI BALOGUN, OTR is a Occupational Therapist healthcare provider located in MATTESON, Illinois. NPI 1851157960 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MATTESON, IL
Registration Details
- NPI Number
- 1851157960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2024 (2.4206737952985 yrs)
- Last Updated
- Feb 26, 2024
- License
-
056015476 (IL)
Practice Information
- Address
-
21209 SHANNON AVEMATTESON, IL, 604431460Browse IL providers · Browse ZIP 60443
- Phone
- 7087203315
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MATTESON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MARCUS JAMES FRANKLIN | OTR/L | 1316907660 |
| MS. GLORIA JEAN WHITLOCK ROBERTSON | — | 1053587915 |
| LATANJA MANSON | OTR | 1174785380 |
| MARCUS MATTHEWS | OTR/L | 1962725515 |
| SHERI TEMPLE | — | 1598063281 |
| MS. KENYA NICOLE WELLS | OTR/L | 1952682155 |
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.