Individual provider · Type 1 NPI

Mutiatu Modupe Moibi

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1831999176 Active

Practice location

4621 N Racine Ave
Chicago, IL 60640-4905

Call (773) 784-2300 Map

Mailing address

5336 Davis St
Skokie, IL 60077-1535

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209030990 (IL)

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

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About NPI 1831999176

Mutiatu Modupe Moibi's National Provider Identifier is 1831999176, issued on Mar 17, 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 Mar 17, 2025.