Individual provider · Type 1 NPI
Modupe Ojuetimi Olukeye, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1295301315
Active
Practice location
2206 W Greenleaf Ave
Chicago, IL 60645-4804
Mailing address
333 S State St Ste 200
Chicago, IL 60604-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041409665 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.023284 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295301315
Modupe Ojuetimi Olukeye, NURSE PRACTITIONER's National Provider Identifier is 1295301315, issued on May 29, 2021. 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 Dec 16, 2025.