Individual provider · Type 1 NPI

Tolulope Adetoba

Nurse Practitioner · Breese, IL

NPI number 1871307611 Active

Practice location

9401 Holy Cross Ln
Breese, IL 62230-3510

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X209035968 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1871307611

Tolulope Adetoba's National Provider Identifier is 1871307611, issued on Feb 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Breese, IL. The record was last updated on Sep 1, 2026.