Individual provider · Type 1 NPI
Nosamudiana W. Odiase
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1952212474
Active
Practice location
4840 N Marine Dr
Chicago, IL 60640-7860
Mailing address
16058 S Dana Dr
Plainfield, IL 60586-1031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2026080040 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1952212474
Nosamudiana W. Odiase's National Provider Identifier is 1952212474, issued on Sep 14, 2026. 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 Sep 14, 2026.