MR. Olumide Samson Fagbemi, NP
NPI #1013163765 in Calumet City, Illinois
Provider Information
- NPI Number
- 1013163765
- Entity Type
- Individual
- Name
- MR. Olumide Samson Fagbemi, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Aug 13, 2008
- Last Updated
- Nov 18, 2020
Practice Location
- Address
- 1118 LUCAS ST
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-2408
- Phone
- (708) 785-2238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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Organizations
| Provider Name | |
|---|---|
| A & S Divine Healthcare Services Pllc |
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