Individual provider · Type 1 NPI
Olalekan Olumuyiwa Fasogbon, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1487442158
Active
Practice location
10935 S Halsted St
Chicago, IL 60628-3127
Mailing address
11724 S Justine St
Chicago, IL 60643-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.032300 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Adontaus ChalmersSpeech-Language Pathologist Chicago, IL NPI 1871870279
- Adriana E. Matos Desautels, MHS, SLP-CFSpeech-Language Pathologist Chicago, IL NPI 1518383967
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About NPI 1487442158
Olalekan Olumuyiwa Fasogbon, PMHNP's National Provider Identifier is 1487442158, issued on Apr 30, 2025. 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 13, 2025.