Mr Lateef Babatunde Kelani, PMHNP-BC | |
1127 N Oakley Blvd, Chicago, IL 60622-3507 | |
(773) 989-9868 | |
Not Available |
Full Name | Mr Lateef Babatunde Kelani |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1127 N Oakley Blvd, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164028189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002890 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mindwell Inc | 4587949383 | 3 |
Entity Name | Mathers Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671 |
Entity Name | Mindwell Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396281838 PECOS PAC ID: 4587949383 Enrollment ID: O20170317000773 |
Mailing Address | Practice Location Address |
---|---|
Mr Lateef Babatunde Kelani, PMHNP-BC 601 E Roosevelt Rd, Lombard, IL 60148-4740 Ph: (708) 328-3225 | Mr Lateef Babatunde Kelani, PMHNP-BC 1127 N Oakley Blvd, Chicago, IL 60622-3507 Ph: (773) 989-9868 |
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