Individual provider · Type 1 NPI
Olumide Samson Fagbemi, NP
Family Nurse Practitioner · Calumet City, IL
NPI number
1013163765
Active
Practice location
1118 Lucas St
Calumet City, IL 60409-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022296 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013163765
Olumide Samson Fagbemi, NP's National Provider Identifier is 1013163765, issued on Aug 13, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Calumet City, IL. The record was last updated on Nov 18, 2020.