Search › Illinois › 164W00000X
Mojisola Lugboso, AGENCY MANAGER
NPI 1720840432 · on the registry since 2024
Practice
- Address
- 8045 S Christiana Ave
Chicago, IL 60652 - Phone
- (773) 742-7434
- Organisation at this address
- Simsult Limited Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-28
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