IndividualActive
Alexis Oduyale, APRN
NPI 1134546112 · Psychiatric/Mental Health Nurse Practitioner · Northbrook, IL
Provider details
- NPI number
- 1134546112
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 209023210 (IL)
Practice location
60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Phone: (224) 306-1879
Fax: (224) 306-1878
Mailing address
108 W Market St
Bloomington, IL 61701-3918
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.