IndividualActive
Christiana Otuwa
NPI 1134846124 · Gerontology Nurse Practitioner · Olympia Flds, IL
Provider details
- NPI number
- 1134846124
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AG05220029 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
504 Wysteria Dr
Olympia Flds, IL 60461-1228
Phone: (312) 864-6000
Fax: (312) 864-7294
Approximate (ZIP-level) locationGet directions
Mailing address
504 Wysteria Dr
Olympia Flds, IL 60461-1228
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.