Search › Illinois › 363L00000X
Mofoluwa Amiyan
NPI 1558787960 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4512 Jefferson Dr
Richton Park, IL 60471 - Phone
- (708) 244-7449
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois