Individual provider · Type 1 NPI

Damilola Rahmat Olusanya

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1043043219 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Mailing address

726 Metropolitan Ave
Bolingbrook, IL 60490-5014

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209030346 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043043219

Damilola Rahmat Olusanya's National Provider Identifier is 1043043219, issued on Aug 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Aug 23, 2024.