Evie Life Psychiatry Llc | |
340 W Butterfield Rd Elmhurst IL 60126-5069 | |
(312) 779-6778 | |
Not Available |
Full Name | Evie Life Psychiatry Llc |
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Speciality | Nurse Practitioner |
Location | 340 W Butterfield Rd, Elmhurst, Illinois |
Authorized Official Name and Position | Imuentiyan Faith Oyesiku (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 7084398834 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evie Life Psychiatry Llc 836 S Spring Rd Elmhurst IL 60126-4726 Ph: (312) 779-6778 | Evie Life Psychiatry Llc 340 W Butterfield Rd Elmhurst IL 60126-5069 Ph: (312) 779-6778 |
NPI Number | 1306614664 |
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Provider Enumeration Date | 12/18/2023 |
Last Update Date | 04/15/2024 |
Certification Date | 04/15/2024 |
Medicare PECOS PAC ID | 3274973110 |
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Medicare Enrollment ID | O20240425003140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306614664 | NPI | - | NPPES |
Provider Name | Imuentiyan Oyesiku |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467064154 PECOS PAC ID: 9335569086 Enrollment ID: I20201019000513 |
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