Individual provider · Type 1 NPI

Mopelola O. Fatuga

Home Health Registered Nurse · Wheaton, IL

NPI number 1003280090 Active

Practice location

1005 Heathrow Ct
Wheaton, IL 60189-7774

Fax (630) 752-0980

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X400449 (IL)
Home Health Registered Nurse Primary 163WH0200X1011561 (IL)
Homemaker 376J00000X3001137 (IL)

Home Health Registered Nurse: Definition to come...

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About NPI 1003280090

Mopelola O. Fatuga's National Provider Identifier is 1003280090, issued on Nov 14, 2015. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Wheaton, IL. The record was last updated on Nov 14, 2015.