Individual provider · Type 1 NPI

Alexis Oduyale, APRN

Psychiatric/Mental Health Nurse Practitioner · Northbrook, IL

NPI number 1134546112 Active

Practice location

60 Revere Dr Ste 100
Northbrook, IL 60062-1590

Fax (224) 306-1878

Mailing address

108 W Market St
Bloomington, IL 61701-3918

Other practice locations

  • 108 W Market St, Bloomington, IL 61701-3918 · (309) 827-5351

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209023210 (IL)

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

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About NPI 1134546112

Alexis Oduyale, APRN's National Provider Identifier is 1134546112, issued on Mar 27, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Northbrook, IL. The record was last updated on Oct 11, 2022.