IndividualActive
Adewumi Odefadehan, APRN-FPA
NPI 1063900603 · Psychiatric/Mental Health Nurse Practitioner · Arlington Heights, IL
Provider details
- NPI number
- 1063900603
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-FPA
- Sex
- Male
- Sole proprietor
- No
- License
- 209017467 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1005 S Evergreen Ave
Arlington Heights, IL 60005-3144
Phone: (847) 787-3734
Fax: (630) 451-9896
Approximate (ZIP-level) locationGet directions
Mailing address
1005 S Evergreen Ave
Arlington Heights, IL 60005-3144
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2020-04-07
- Certified
- 2020-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.