Individual provider · Type 1 NPI
Bukola Jumoke Omotowon
Psychiatric/Mental Health Nurse Practitioner · Waukegan, IL
NPI number
1710786264
Active
Practice location
1741 Kayla Ln Apt 3B
Waukegan, IL 60087-5805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.031859 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710786264
Bukola Jumoke Omotowon's National Provider Identifier is 1710786264, issued on Mar 10, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukegan, IL. The record was last updated on Mar 10, 2025.